Individual
BRENDA NIEDERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12042 SE SUNNYSIDE RD # 271, CLACKAMAS, OR 97015-8382
(503) 902-5040
Mailing address
12042 SE SUNNYSIDE RD # 271, CLACKAMAS, OR 97015-8382
(503) 902-5040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R6854
OR
Other
Enumeration date
11/19/2007
Last updated
08/20/2021
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