Individual
HAILEY ALEXIS BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(510) 202-6881
Mailing address
4742 LIBERTY RD S # 269, SALEM, OR 97302-5037
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OR
Enumeration date
08/12/2019
Last updated
08/13/2022
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