BRIAN FUQUA

PORTLAND, OR
NPI1467199463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7924)
Enumeration Date2022-05-19
Last Update Date2022-05-19
Business Address
BRIAN FUQUA LCSW
2382 NW LOVEJOY ST
PORTLAND, OR 97210-3022
Phone number: 503-998-3954
Mailing Address
BRIAN FUQUA LCSW
2382 NW LOVEJOY ST
PORTLAND, OR 97210-3022
Phone number: 503-998-3954
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