Organization
STEPHANIE L BRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH K RILEY (PRACTICE MANAGER/BILLING)
(503) 421-9649
Entity
Organization
Contact information
Practice address
211 NE 28TH AVE, PORTLAND, OR 97232-3300
(503) 572-5271
Mailing address
4207 SE WOODSTOCK BLVD # 160, PORTLAND, OR 97206-6267
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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