Individual
AMANDA MEIRA BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7229 SE 50TH AVE, PORTLAND, OR 97206-8311
(206) 707-5801
Mailing address
7229 SE 50TH AVE, PORTLAND, OR 97206-8311
(206) 707-5801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10644
OR
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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