Individual
PATRICIA LOUISE BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, BC
Contact information
Practice address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477
(541) 868-9303
(541) 868-9306
Mailing address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201250144NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650807
—
OR
Enumeration date
07/29/2006
Last updated
02/13/2020
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