Most Relevant Information
Provider Data
| NPI Number: | 1003046517 |
| Provider Name: | JAMES PAUL BRYANT LCSW, CADC 3 |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2009 |
| Last Updated: | 12/17/2021 |
Provider Practice Location
3550 N INTERSTATE AVE
PORTLAND
OR
972271196
Practice Location Phone/Fax
| Phone: | 5039640000 |
| Fax: |
Provider Mailing Location
6056 SE KNAPP ST
PORTLAND
OR
972067546
Provider Mailing Phone/Fax
| Phone: | 5035773701 |
| Fax: |