Individual
JESSICA BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
11740 SW 68TH PKWY STE 200, TIGARD, OR 97223-9058
(503) 710-6933
(971) 352-6984
Mailing address
11740 SW 68TH PKWY STE 200, TIGARD, OR 97223-9058
(503) 710-6933
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10045553
OR
Other
Enumeration date
10/29/2024
Last updated
07/26/2025
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