Individual
MRS. BREANA KAY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1975 NW 167TH PLACE STE 100-12, BEAVERTON, OR 97006
(503) 860-4859
Mailing address
1975 NW 167TH PLACE STE 100-12, BEAVERTON, OR 97006
(503) 860-4859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2707
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500660585
—
RI
Enumeration date
03/26/2013
Last updated
12/16/2022
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