Individual
BRANDON CHASE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 480-8394
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 480-8394
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-1268
OR
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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