NPI Profile for ALYSSA BRIN in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Nutritionist |
133N00000X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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ALYSSA BRIN
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