Individual
MS. BREANNA L DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHS-8L, PORTLAND, OR 97239
(503) 494-5952
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHS-8L, PORTLAND, OR 97239-3011
(503) 494-5952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6775
OR
Other
Enumeration date
02/14/2012
Last updated
05/18/2018
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