BRANDY LEE TIDWELL

PORTLAND, OR
NPI1831510189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2014-01-03
Last Update Date2023-07-04
Business Address
BRANDY LEE TIDWELL PhD
3700 N WILLIAMS AVE
PORTLAND, OR 97227-1441
Phone number: 503-281-4852
Mailing Address
BRANDY LEE TIDWELL PhD
3700 N WILLIAMS AVE
PORTLAND, OR 97227-1441
Phone number: 503-281-4852