Individual provider · Type 1 NPI

Ashley Nicole Brainard, MA, QMHP

Mental Health Counselor · Portland, OR

NPI number 1194196584 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

Mailing address

17070 SE Mcloughlin Blvd
Milwaukie, OR 97267-4960

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194196584

Ashley Nicole Brainard, MA, QMHP's National Provider Identifier is 1194196584, issued on Oct 12, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 24, 2018.