BRIAN LONG

MILWAUKIE, OR
NPI1962953471
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-19
Last Update Date2019-12-31
Business Address
BRIAN LONG
17070 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97267-2115
Phone number: 503-303-4000
Mailing Address
BRIAN LONG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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