Individual
MR. MICHAEL BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
700 NE MULTNOMAH ST, STE 275, PORTLAND, OR 97232-2131
(503) 729-1380
(503) 841-6343
Mailing address
2532 119TH CT NE UNIT B, BLAINE, MN 55449-5060
(651) 208-6998
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
C3993
OR
Other
Enumeration date
06/01/2015
Last updated
05/19/2016
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