Individual
BRANDON ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 SE 10TH AVE, PORTLAND, OR 97214-1366
(818) 983-8391
Mailing address
60 SE 10TH AVE, PORTLAND, OR 97214-1366
(818) 983-8391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10236502
OR
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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