Individual
MRS. ASHLEY NICOLE BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
847 NE 19TH AVE, SUITE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
17070 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4960
(503) 303-4000
(503) 344-4412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
04/24/2018
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