Individual
BRANDON PAUL WOMACK-MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., CADC I, QHMA
Contact information
Practice address
709 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 226-4060
Mailing address
709 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 226-4060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-12-69
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-12-69
ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON
OR
Enumeration date
02/17/2007
Last updated
02/25/2013
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