Individual
BRITTANY SHANNON EIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC INTERN
Contact information
Practice address
4900 SW GRIFFITH DR STE 273, BEAVERTON, OR 97005-5607
(503) 530-6521
Mailing address
12455 SW 115TH AVE, TIGARD, OR 97223-4067
(503) 431-4581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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