Aleta Lisa Brady
Case Manager/Care Coordinator in Portland, OR. Individual provider (NPI-1).
NPI number1407366990
StatusActive
Last updated in NPPESOct 10, 2017
Details
- NPI
- 1407366990
- Entity type
- Individual (NPI-1)
- Name
- Aleta Lisa Brady
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2017
- Last updated
- Oct 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
847 Ne 19th AvePortland, OR 97232-2684
Phone 503-238-0769
Mailing address
Po Box 8459Portland, OR 97207-8459
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