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1053095307
BREDE EDGAR MARTIN PARKER
PORTLAND, OR
NPI
1053095307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
BREDE EDGAR MARTIN PARKER PsyD
3050 SE DIVISION ST STE 215
PORTLAND, OR 97202-1997
Phone number: 503-622-8964
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Mailing Address
BREDE EDGAR MARTIN PARKER PsyD
6501 REED RD APT 309
FORT WAYNE, IN 46835-2237
Phone number: 815-383-8454
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