Individual
BRIAR WILLOW MACISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1340 E MAIN ST, HILLSBORO, OR 97123-4336
(503) 597-6089
Mailing address
1340 E MAIN ST, HILLSBORO, OR 97123-4336
(503) 597-6089
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
113992
OR
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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