BRIAN BRACELIN


Address: 6200 Se King Rd, Portland, OR 97222-2891
Phone: 5035467387

BRIAN BRACELIN (NPI# 1508498908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508498908
Entity Type Individual
Full Name BRIAN BRACELIN
Practice Address 6200 Se King Rd
Portland
OR 97222-2891
Practice Telephone 5035467387
Mailing Telephone 5035467387
Enumeration Date 2020-02-04
Last Update Date 2020-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
A5425 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500679014 05

Office Location

Street Address 6200 SE KING RD
City PORTLAND
State OR
Zip Code 97222-2891

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275695934 Northwest Family Services Social Worker 6200 Se King Rd, Portland, OR 97222-2891 2006-12-15
1083215958 Kennedy Cheyenne Benitez Counselor 6200 Se King Rd, Portland, OR 97222-2891 2020-11-05
1558905562 Chantelle Volk Counselor 6200 Se King Rd, Portland, OR 97222-2891 2019-11-01
1992352538 Terence Kennedy Counselor 6200 Se King Rd, Portland, OR 97222-2891 2019-08-19
1619521887 Jonathan Boisvert Counselor 6200 Se King Rd, Portland, OR 97222-2891 2019-07-26
1689148926 Ravin Brown Counselor 6200 Se King Rd, Portland, OR 97222-2891 2019-01-21
1184119315 Josefina Wendy Acevedo-giles Counselor 6200 Se King Rd, Portland, OR 97222-2891 2018-06-29
1134626831 Liliana Acosta Counselor 6200 Se King Rd, Portland, OR 97222-2891 2018-04-09
1417465451 Katelyn Cushman Counselor 6200 Se King Rd, Portland, OR 97222-2891 2018-01-11
1003324146 Emily Streeter Counselor 6200 Se King Rd, Portland, OR 97222-2891 2018-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831731397 Madalyn Kelly Yowell Technician 7809 Southeast Southgate Street, Milwaukee, OR 97222 2019-10-16
1336617448 Nadia Yang Social Worker 2115 Se Adams St, Milwaukie, OR 97222 2018-11-06
1851892368 Arrow Dental LLC Dentist 10505 Se 17th Avenue, Milwaukie, OR 97222 2018-02-21
1851814016 Cathy Maria Andrew Acupuncturist 11022 Se Stanley Ave, Milwaukie, OR 97222 2017-07-19
1972025369 Sarah Elizabeth Giles Peer Specialist 11097 Se 21st Ave., Milwaukie, OR 97222 2017-07-07
1366976292 Brittany Reubendale Physical Therapist 12705 See River Rd, Portland, OR 97222 2017-04-18
1669916383 Margie Hertz Registered Nurse 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 2016-12-14
1952858094 Alexis Escobar Speech-Language Pathologist 4560 Se International Way, Ste 100, Milwaukie, OR 97222 2016-09-07
1205295466 Beth Ann Mills Acupuncturist 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 2016-02-16
1558744086 Kyle Eugene Coan Specialist 3306 Se Wister St, Milwaukie, OR 97222 2015-07-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748243 Jessica M Feinsmith Counselor 6530 N Williams Ave, Portland, OR 97217-1924 2020-10-21
1720687809 Karissa Myriah Gregory Counselor 14255 Se Rupert Dr, Portland, OR 97267-1211 2020-10-20
1528667904 Zuzana Sakova Counselor 819 Se Morrison St Ste 225, Portland, OR 97214-6311 2020-10-18
1891302238 Nina Landey Counselor 120 Se 53rd Ave, Portland, OR 97215-1204 2020-09-29
1902412166 Peter H Addy LLC Counselor 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 2020-09-22
1326654765 Naomi Painter Counselor 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 2020-09-21
1750996104 Sara Fuller Counselor 3016 Ne 70th Ave, Portland, OR 97213-5802 2020-09-12
1114532983 Matthew W Cronin Counselor 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 2020-09-09
1447865381 Luke Colbourn Counselor 2705 E Burnside St Ste 206, Portland, OR 97214-1768 2020-09-08
1710599774 Abigail Kathryn Ernst Counselor 1020 Sw Taylor St # 100, Portland, OR 97205-2543 2020-08-20
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Competitor

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City PORTLAND
Zip Code 97222

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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