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Individual

BRADLEY E SIGAFOOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
7320 SW HUNZIKER RD STE 204, TIGARD, OR 97223-2301
(971) 222-8166
(866) 802-8062
Mailing address
7320 SW HUNZIKER RD STE 204, TIGARD, OR 97223-2301
(971) 222-8166
(866) 802-8062

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C3392
OR
101YM0800X
Mental Health Counselor
5862-125
WI
101YP2500X
Professional Counselor
6401012431
MI
101YP2500X
Professional Counselor
Primary
C4852
OR

Other

Enumeration date
04/25/2011
Last updated
03/05/2019
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