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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRAVE SPACE, LLC

Active Organization

BRAVE SPACE, LLC is a Community/Behavioral Health organization located in PORTLAND, Oregon. NPI 1255885919 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · PORTLAND, OR

Registration Details

NPI Number
1255885919
Provider Type
Organization
NPI Issued
Aug 11, 2016 (10.050629942695 yrs)
Last Updated
May 18, 2023
License
C3371 (OR)

Practice Information

Address
3620 SE POWELL BLVD # 102
PORTLAND, OR, 972021880
Browse OR providers · Browse ZIP 97202
Phone
5034868936
Fax
5038946020
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.