Individual
MS. BLUE MAKAYLA-CHRISTINA BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
233 SW WALLULA AVE, GRESHAM, OR 97080-6858
(503) 924-1220
(503) 924-1221
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3703577
OR
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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