Individual
BROOKE VAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10580 SW MCDONALD ST STE 202, TIGARD, OR 97224-4800
(971) 242-4155
Mailing address
10580 SW MCDONALD ST STE 202, TIGARD, OR 97224-4800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
03/05/2024
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