Individual
BAILEY ANNE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2747 NE CONNERS AVE, BEND, OR 97701-8738
(541) 382-5712
(541) 382-2605
Mailing address
2747 NE CONNERS AVE, BEND, OR 97701-8738
(541) 382-5712
(503) 382-2605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA173207
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690561
—
OR
01
—
R240508
MEDICARE PTAN
OR
Enumeration date
03/13/2013
Last updated
12/20/2022
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