Individual
BRYAN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756-2558
(541) 923-2654
Mailing address
622 NE REDWOOD AVE, REDMOND, OR 97756-3805
(541) 815-7949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
OR
Other
Enumeration date
08/26/2015
Last updated
09/15/2015
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