BRANDY LEE TIDWELL

PORTLAND, OR
NPI1831510189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  3798)
Enumeration Date2014-01-03
Last Update Date2025-10-06
Business Address
BRANDY LEE TIDWELL PhD
6536 SE DUKE ST
PORTLAND, OR 97206-6665
Phone number: 503-406-6546
Mailing Address
BRANDY LEE TIDWELL PhD
6536 SE DUKE ST
PORTLAND, OR 97206-6665
Phone number: 503-406-6546
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