Organization
TIM OBRIEN LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM OBRIEN LPC (PRESIDENT)
(503) 853-6843
Entity
Organization
Contact information
Practice address
1506 SE CUTTER LN, VANCOUVER, WA 98661-8084
(503) 853-6843
Mailing address
405 W ARLINGTON ST, GLADSTONE, OR 97027-2308
(503) 853-6843
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C1454
OR
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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