Individual
MR. DAVID RICHARD BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7931 NE HALSEY ST STE 305, PORTLAND, OR 97213-6794
(503) 789-2044
Mailing address
7931 NE HALSEY ST STE 305, PORTLAND, OR 97213-6794
(503) 789-2044
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
OR
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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