RICHARD J BREUNISSEN

PORTLAND, OR
NPI1568079929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  20-QMHP-R-0454)
Enumeration Date2020-09-29
Last Update Date2021-03-02
Business Address
RICHARD J BREUNISSEN QMHP-R
1438 SE DIVISION ST
PORTLAND, OR 97202-1140
Phone number: 503-548-0346
Mailing Address
RICHARD J BREUNISSEN QMHP-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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