Individual
BRANDT ELLIOT HUESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
510 SW 3RD AVE, STE 200, PORTLAND, OR 97204-2507
(503) 890-9697
Mailing address
510 SW 3RD AVE, STE 200, PORTLAND, OR 97204-2507
(503) 890-9697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4378
OR
Other
Enumeration date
10/28/2009
Last updated
10/01/2017
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