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Bryan Robert Easlick
Peer Specialist in Oregon City, Oregon
NPI 1851663389

Bryan Robert Easlick is a Peer Specialist based in Portland, OR. Bryan Robert Easlick practices in Oregon City, OR. The NPI Number for Bryan Robert Easlick is 1851663389 and holds a License No. (Oregon).

The current practice location address for Bryan Robert Easlick is 704 Main St Ste 302, Oregon City, OR and can be reached out via phone at 971-386-3407 and via fax at 503-723-6653.

Location: 704 Main St Ste 302, Oregon City, OR, 97292-0756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851663389
Provider Name
Bryan Robert Easlick
Credential
Provider Entity Type
Individual
Gender
Male
Address
704 Main St Ste 302, Oregon City, OR, 97292-0756
Phone Number
971-386-3407
Fax Number
503-723-6653
Provider Enumeration Date
01/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
704 Main St Ste 302
City
Oregon City
State
Oregon
Zip
97045-1842
Phone Number
971-386-3407
Fax Number
503-723-6653
person
Provider Business Mailing Address Details
Address
704 Main St Ste 302
City
Oregon City
State
Oregon
Zip
97045-1842
Phone Number
971-386-3407
Fax Number
503-723-6653
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15-CRM-049 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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