Individual
PHILLIP BRANDON TESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
2425 E BURNSIDE ST, PORTLAND, OR 97214-1751
(503) 729-5236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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