BRIAN EUGENE BRADFORD

EUGENE, OR
NPI1194841536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- BRIAN EUGENE BRADFORD QMHA B.A.
20 E 13TH AVE
EUGENE, OR 97401-3535
Phone number: 541-913-7633
Mailing Address
-- BRIAN EUGENE BRADFORD QMHA B.A.
88049 LLAMA LN
VENETA, OR 97487-8732
Phone number: 541-913-7633
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