Individual
BROOKE JANELLE AUTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Mailing address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L14190
OR
1041C0700X
Clinical Social Worker
—
UT
Other
Enumeration date
07/01/2020
Last updated
10/27/2023
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