Individual
MR. NATHANIEL LEE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA MFT, LPCI
Contact information
Practice address
7409 SW CAPITOL HWY, SUITE 209, PORTLAND, OR 97219-2432
(503) 597-8281
Mailing address
11545 SW BEEF BEND RD APT 10, TIGARD, OR 97224-2723
(503) 597-8281
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
07/17/2014
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