DEREK VAUGHN BRUDERER

PORTLAND, OR
NPI1063221760
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-4784)
Enumeration Date2025-01-06
Last Update Date2025-01-06
Business Address
DEREK VAUGHN BRUDERER CADC-R
1122 NE 122ND AVE STE A200
PORTLAND, OR 97230-2083
Phone number: 503-954-1890
Mailing Address
DEREK VAUGHN BRUDERER CADC-R
13700 SE CENTER ST
PORTLAND, OR 97236-3524
Phone number: 971-379-0207
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