Individual
BRIANA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 SE LAKE RD, MILWAUKIE, OR 97222-2161
(971) 678-9956
Mailing address
7191 SW SAGERT ST UNIT 105, TUALATIN, OR 97062-8250
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B2S220191636
—
OR
Enumeration date
01/10/2023
Last updated
03/21/2024
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