Individual provider · Type 1 NPI

Bravo Byrne

Mental Health Counselor · Portland, OR

NPI number 1760318752 Active

Practice location

2333 SE 12th Ave
Portland, OR 97214-5323

Mailing address

1902 E Burnside St
Portland, OR 97214-1536

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1760318752

Bravo Byrne's National Provider Identifier is 1760318752, issued on Jun 18, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 18, 2026.