Individual
CHERYL S BRISCHETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 297-0513
(503) 292-5208
Mailing address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 297-0513
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
510
OR
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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