Individual
JAKE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
(541) 388-3446
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA207373
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
10/06/2020
Last updated
05/01/2024
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