Provider Demographics
NPI:1811660616
Name:BREHM, CHRISTOPHER
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:BREHM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CHRISTO
Other - Middle Name:
Other - Last Name:BREHM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:840 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2828
Mailing Address - Country:US
Mailing Address - Phone:541-275-6349
Mailing Address - Fax:541-516-7085
Practice Address - Street 1:840 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2828
Practice Address - Country:US
Practice Address - Phone:541-359-3530
Practice Address - Fax:541-516-7085
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR7563101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional