Kirsten Elissa Braudt
Kirsten Elissa Braudt is a Mental Health Counselor in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Lifeworks NW, a 14-clinician group and accepts Medicare assignment.
- Years since qualifying
- 10
- In the registry since
- 2015
Practice location Address checks out
5200 SW Macadam Ave Ste 580Portland, OR 97239-6103
Phone: (503) 231-7854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1285021105 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2015 |
| Last updated in NPPES | April 17, 2015 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Lifeworks Nw — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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