Individual
MS. BRYNNA LEVIN SIBILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-1101
(503) 280-9798
Mailing address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-1101
(503) 280-9798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2393
OR
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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