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Contact Information

ALYSSA BRIN, LPC, CN
12636 SE STARK ST BLDG J
PORTLAND, OR97233-1058
 Phone: 503-253-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for ALYSSA BRIN · (Female)

NPI Number 1306124276
Status Active
Credentials LPC, CN
Entity Individual
Enumeration date 07/26/2011
Last updated 12/07/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OR License # C7809
  • WA License # NU60324012
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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