| Stephanie L Brell | |
|
211 Ne 28th Ave Portland OR 97232-3300 | |
| (503) 572-5271 | |
| Not Available |
| Full Name | Stephanie L Brell |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 211 Ne 28th Ave, Portland, Oregon |
| Authorized Official Name and Position | Beth K Riley (PRACTICE MANAGER/BILLING) |
| Authorized Official Contact | 5034219649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie L Brell 4207 Se Woodstock Blvd # 160 Portland OR 97206-6267 Ph: () - | Stephanie L Brell 211 Ne 28th Ave Portland OR 97232-3300 Ph: (503) 572-5271 |
| NPI Number | 1467919225 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 02/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467919225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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