BRANDON HEREFORD RICKE

PORTLAND, OR
NPI1760104699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-09-16
Last Update Date2022-09-16
Business Address
BRANDON HEREFORD RICKE CADC-R, CRM, BBA
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Mailing Address
BRANDON HEREFORD RICKE CADC-R, CRM, BBA
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738