JESSIE EDWARD BRAZZLE

PORTLAND, OR
NPI1093851412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  CADC 1)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- JESSIE EDWARD BRAZZLE CADC 1
2415 SE 43RD AVE SUITE 2
PORTLAND, OR 97206-1600
Phone number: 503-230-9654
Mailing Address
-- JESSIE EDWARD BRAZZLE CADC 1
2415 SE 43RD AVE SUITE 2
PORTLAND, OR 97206-1600
Phone number: 503-230-9654