Individual
KATIE BRILZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
876 NE 162ND AVE, PORTLAND, OR 97230-5765
(503) 262-0145
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 262-0145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
164W00000X
OR
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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