Provider Demographics
NPI:1457174328
Name:MURRAY, BROOKE (QMHP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:
Other - Last Name:OLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5552 NW 149TH CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-1832
Mailing Address - Country:US
Mailing Address - Phone:623-521-3289
Mailing Address - Fax:
Practice Address - Street 1:16365 NORTHWEST TWIN OAKS DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006
Practice Address - Country:US
Practice Address - Phone:623-521-3289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24-QMHP-R-2610101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health