Organization
TRANSFORMATIVE PATHWAYS PDX
Active
Other names
Brandon Hardaway
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HARDAWAY (OWNER)
(971) 401-3784
Entity
Organization
Contact information
Practice address
2951 NW DIVISION ST, GRESHAM, OR 97030-5292
(971) 401-3784
Mailing address
2951 NW DIVISION ST, GRESHAM, OR 97030-5292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A4231
OR
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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