Individual
MR. BRADEN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1328 NW PORTLAND AVE, BEND, OR 97701-1519
(541) 848-0098
Mailing address
63660 BRITTA STREET, BLDG 1, BEND, OR 97701-1519
(541) 848-0098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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