BRANDY M ASCENCIO

PORTLAND, OR
NPI1780187880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  18-P-03)
Enumeration Date2018-03-14
Last Update Date2019-12-20
Business Address
BRANDY M ASCENCIO CADC I
17645 NW SAINT HELENS RD
PORTLAND, OR 97231-1729
Phone number: 503-621-1069
Mailing Address
BRANDY M ASCENCIO CADC I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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