BRIAN PAUL MAYTA

PORTLAND, OR
NPI1114063476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  05-03-29)
Enumeration Date2007-01-30
Last Update Date2016-06-27
Business Address
Mr. BRIAN PAUL MAYTA CADC I
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
Mr. BRIAN PAUL MAYTA CADC I
PO BOX 8459 847 NE 19TH AV. SUITE 100
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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