Individual
JAMES ROBERT BRIETENBAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2995 RYAN DR SE, SALEM, OR 97301-5157
(503) 307-7791
Mailing address
2995 RYAN DR SE, SALEM, OR 97301-5157
(503) 307-7791
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112973
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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