Individual
KOREN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD # P3MHDC, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
6894 SE FERN AVE, PORTLAND, OR 97206-9428
(971) 275-6935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7410
OR
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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