Individual
BROOKE GUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
66 CLUB RD STE 210, EUGENE, OR 97401-2599
(541) 972-4832
(541) 393-5984
Mailing address
66 CLUB RD STE 210, EUGENE, OR 97401-2599
(541) 972-4832
(541) 393-5984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10033180
OR
163W00000X
Registered Nurse
RN00157565
WA
163W00000X
Registered Nurse
RN128078
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10033180
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60074110
WA
Other
Enumeration date
02/09/2009
Last updated
12/02/2024
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