THOMAS BRUKETTA

PORTLAND, OR
NPI1306288568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-07-29
Last Update Date2013-07-29
Business Address
-- THOMAS BRUKETTA
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
Mailing Address
-- THOMAS BRUKETTA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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