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Individual

MR. THOMAS JAMES BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1915 NE STUCKI AVE STE 400, BEAVERTON, OR 97006-6938
(503) 804-3262
Mailing address
7325 NE IMBRIE DR # 295, HILLSBORO, OR 97124-7595
(503) 804-3262

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1622
OR
103TC0700X
Clinical Psychologist
1622
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PACIFICSOURCE
PROVIDER #
OR
Enumeration date
12/31/2006
Last updated
05/16/2025
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