Individual
BRYAN DALE LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LICENSED LPC
Contact information
Practice address
3000 NE STUCKI AVE STE 230, HILLSBORO, OR 97124-7328
(503) 869-8108
Mailing address
715 5TH ST, OREGON CITY, OR 97045-2343
(503) 839-2798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C8362
OR
Other
Enumeration date
06/15/2022
Last updated
06/18/2024
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