Individual
BRYAN PEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10714 NE GLISAN ST, PORTLAND, OR 97220-4046
(503) 253-2453
(503) 254-4271
Mailing address
10714 NE GLISAN ST, PORTLAND, OR 97220-4046
(503) 253-2453
(503) 254-4271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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