Individual
MR. NATHAN THOMAS BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I, CRM
Contact information
Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/10/2015
Last updated
12/12/2017
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