BRENT BONFIGLIO

PORTLAND, OR
NPI1154266799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: OR  138261)
Enumeration Date2026-04-21
Last Update Date2026-04-21
Business Address
BRENT BONFIGLIO
501 N DIXON ST
PORTLAND, OR 97227-1804
Phone number: 503-347-7794
Mailing Address
BRENT BONFIGLIO
3946 NE FAILING ST
PORTLAND, OR 97212-1945
Phone number: 503-347-7794