Individual
BRENNA MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19501 NE DAVIS ST, PORTLAND, OR 97230-8035
(503) 665-9193
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/21/2021
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