Individual
ZOYA ROCHELLE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 NE 78TH CT, PORTLAND, OR 97218-2823
(503) 252-3949
Mailing address
6601 NE 78TH CT, PORTLAND, OR 97218-2823
(503) 252-3949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-5200
OR
171M00000X
Case Manager/Care Coordinator
—
AK
Other
Enumeration date
10/16/2023
Last updated
05/12/2025
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