Individual
NATHAN BRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
755 MISSION ST SE BLDG M, SALEM, OR 97302-6211
(503) 814-7962
Mailing address
156 FRONT ST NE UNIT 320, SALEM, OR 97301-3479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17571
OR
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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