Individual
DENICE BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RYT200, BSW, MSCN
Contact information
Practice address
239 NE LINCOLN ST, HILLSBORO, OR 97124-3066
(971) 238-4408
Mailing address
239 NE LINCOLN ST, HILLSBORO, OR 97124-3066
(971) 238-4408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
A18533
OR
133N00000X
Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
10/03/2017
Last updated
08/06/2026
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