Individual
ANGELA BRACKHAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 E 7TH ST, STE. 207, THE DALLES, OR 97058-2676
(541) 490-4377
Mailing address
PO BOX 323, BINGEN, WA 98605-0323
(541) 490-4377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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