Individual
DR. BRIANNE PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1815 SW MARLOW AVE STE 218, PORTLAND, OR 97225-5187
(503) 444-4862
(503) 444-4866
Mailing address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5238
(503) 567-3260
(503) 567-3264
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2372
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230442
DMAP
OR
Enumeration date
08/11/2008
Last updated
07/08/2024
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