Provider Demographics
NPI:1336947464
Name:PARSONS, BRANDON CHARLES (CRM-II, CADC-R)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:CHARLES
Last Name:PARSONS
Suffix:
Gender:
Credentials:CRM-II, CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SW 106TH PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6973
Mailing Address - Country:US
Mailing Address - Phone:971-221-2247
Mailing Address - Fax:
Practice Address - Street 1:411 NE 19TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-4801
Practice Address - Country:US
Practice Address - Phone:541-228-0864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT-25-4906101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)