Individual
BRADY ALLAN HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2330 NE SISKIYOU ST, PORTLAND, OR 97212-2471
(503) 528-0757
Mailing address
614 SW JACKSON ST APT 202, PORTLAND, OR 97201-4935
(701) 205-7431
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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