Individual
BROOKE NICOLE GOETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(971) 248-2395
Mailing address
2943 SE ALDER ST APT 17, PORTLAND, OR 97214-3087
(336) 848-1307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-NI-10205004
OR
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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