Individual
MRS. BRYNNE LISA DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9255 NE HALSEY STREET, PORTLAND, OR 97220
(503) 726-3760
(503) 726-3761
Mailing address
9255 NE HALSEY STREET, PORTLAND, OR 97220
(503) 726-3760
(503) 726-3761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4183
OR
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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