Individual
BRANDY MASTERS CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1130 NW 22ND AVE STE LL10, PORTLAND, OR 97210-2974
(503) 413-6050
Mailing address
364 SE 8TH AVE, HILLSBORO, OR 97123
(503) 681-4109
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201706386NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201704010NP-PP
OR
Other
Enumeration date
02/16/2017
Last updated
09/17/2018
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