Organization
BRAVE SOULS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH MCABEE CADC-2 QMHA-2 (DIRECTOR OF BRAVE SOULS)
(541) 295-5185
Entity
Organization
Contact information
Practice address
6135 SW CHERRYHILL DR, BEAVERTON, OR 97008-4446
(541) 295-5185
Mailing address
6135 SW CHERRYHILL DR, BEAVERTON, OR 97008-4446
(541) 295-5185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740843689
—
OR
05
—
1871105684
—
OR
05
—
1982431110
—
OR
Enumeration date
05/01/2025
Last updated
05/01/2025
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