| Brett Stithem, Lcsw | |
|
1829 Ne Alberta St Ste 7 Portland OR 97211-5881 | |
| (773) 575-8152 | |
| Not Available |
| Full Name | Brett Stithem, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1829 Ne Alberta St Ste 7, Portland, Oregon |
| Authorized Official Name and Position | Brett R Stithem (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7735758152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Stithem, Lcsw 5623 Ne 11th Ave Unit B Portland OR 97211-4274 Ph: (773) 575-8152 | Brett Stithem, Lcsw 1829 Ne Alberta St Ste 7 Portland OR 97211-5881 Ph: (773) 575-8152 |
| NPI Number | 1255859583 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255859583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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