BRANDON JAMES PETTIT BA
NPI 1346880614
Counselor - Addiction (Substance Use Disorder) in Portland, OR
Active since January 14, 2020
About Brandon James Pettit Ba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON JAMES PETTIT BA (NPI 1346880614) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1346880614
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRANDON JAMES PETTITCredential: BA
Location Address1312 SW WASHINGTON STPortland, OR 97205-2327
Mailing Address1312 Sw Washington StPortland, OR 97205-2327 · (503) 535-1101
Phone(503) 535-1101
Sole ProprietorNo
Enumeration DateJanuary 14, 2020
Last NPPES UpdateJanuary 16, 2020
✔ NPI 1346880614 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1312 SW WASHINGTON ST, Portland, OR 97205
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346880614, enumerated as an "individual" on January 14, 2020.
The provider is located at 1312 SW WASHINGTON ST PORTLAND, OR 97205 and the phone number is (503) 535-1101.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
