Individual
MR. BRIAN JAMES DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 SE MORRISON ST, PORTLAND, OR 97214-2462
(503) 376-7114
Mailing address
2241 SE 43RD AVE, PORTLAND, OR 97215-3711
(503) 560-3368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15387
OR
Other
Enumeration date
09/28/2022
Last updated
07/29/2024
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