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1023226032
BRIANT NIERSTEDT
PORTLAND, OR
NPI
1023226032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- BRIANT NIERSTEDT MA
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
-- BRIANT NIERSTEDT MA
15734 SE WILLS WAY
MILWAUKIE, OR 97267-4274
Phone number: 503-407-8650
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