Individual provider · Type 1 NPI

Brittany Shannon Eide, LPC INTERN

Mental Health Counselor · Beaverton, OR

NPI number 1679130256 Active

Practice location

4900 SW Griffith Dr Ste 273
Beaverton, OR 97005-5607

Call (503) 530-6521 Map

Mailing address

12455 SW 115th Ave
Tigard, OR 97223-4067

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679130256

Brittany Shannon Eide, LPC INTERN's National Provider Identifier is 1679130256, issued on May 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on May 20, 2019.