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Individual

MR. BRETT WILLIAM FARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
215 NE 29TH AVE APT A, PORTLAND, OR 97232-3358
(845) 206-8227
Mailing address
215 NE 29TH AVE APT A, PORTLAND, OR 97232-3358
(845) 206-8227

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/13/2009
Last updated
03/13/2009
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