Individual
DALE A BROUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8196 SW HALL BLVD STE 102A, BEAVERTON, OR 97008-4676
(503) 639-2300
(503) 968-1800
Mailing address
8196 SW HALL BLVD STE 209, BEAVERTON, OR 97008-6411
(503) 639-2300
(503) 968-1800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
292
OR
103T00000X
Psychologist
466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164986
VALUE OPTIONS
—
01
—
4100374
AENTA
—
Enumeration date
02/23/2007
Last updated
11/07/2018
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