Individual
BRANDI LYNN GULLIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
8940 SE 72ND AVE, PORTLAND, OR 97206-9417
(503) 722-4110
(503) 413-5990
Mailing address
8940 SE 72ND AVE, PORTLAND, OR 97206-9417
(503) 722-4110
(503) 713-5990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2826
OR
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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