BRYAN RICHARD DIAZ

PORTLAND, OR
NPI1215791876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-3679)
Enumeration Date2024-02-13
Last Update Date2025-02-10
Business Address
BRYAN RICHARD DIAZ CADC-R
411 NE 19TH AVE
PORTLAND, OR 97232-4801
Phone number: 971-386-2126
Mailing Address
BRYAN RICHARD DIAZ CADC-R
411 NE 19TH AVE
PORTLAND, OR 97232-4801
Phone number: 971-386-2126
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