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Individual

MS. ERIN BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3945 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5241
(971) 235-2613
(208) 666-1642
Mailing address
3945 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5241
(971) 235-2613
(208) 666-1642

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
L5981
OR

Other

Enumeration date
02/06/2007
Last updated
05/30/2014
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