Individual
CHARLES BREYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11220 SE STARK ST, PORTLAND, OR 97216-3379
(971) 361-8303
Mailing address
11220 SE STARK ST, PORTLAND, OR 97216-3379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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