Dr. Patricia Jean Brazil, Ph.D.
Psychologist in Portland, OR. Individual provider (NPI-1).
NPI number1457423527
StatusActive
Last updated in NPPESJun 6, 2008
Details
- NPI
- 1457423527
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patricia Jean Brazil
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2006
- Last updated
- Jun 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1257 | OR | Yes |
| 103G00000X | Clinical Neuropsychologist | 1257 | OR |
Other names
- Trish J. Brazil (Professional Name)
Practice location
506 Sw 6th AveSuite 602
Portland, OR 97204-1533
Phone 503-222-5563 · Fax 503-222-5564
Mailing address
506 Sw 6th Ave.Suite 602
Portland, OR 97204-1526
Phone 503-222-5563 · Fax 503-222-5564
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