BRETT ALAN WILDRICK

PORTLAND, OR
NPI1114228129
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-11-07
Last Update Date2010-11-07
Business Address
-- BRETT ALAN WILDRICK
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-258-4200
Mailing Address
-- BRETT ALAN WILDRICK
5776 KALMIA LN
SPRINGFIELD, OR 97478-5453
Phone number: 541-337-2848
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