Witherspoon, Brenna

Witherspoon, Brenna is an individual health care provider with primary practice located at 1904 Se Division St , Portland OR 97202-1146. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Witherspoon, Brenna can be contacted via phone (503) 517-8663.

Contact Information

Primary practice address
1904 Se Division St Portland OR 97202-1146
Phone: (503) 517-8663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1134673734
LBN Legal business name Witherspoon, Brenna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Nov 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers