Individual
BRIANNE KISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 SW 13TH ST STE 201, BEND, OR 97702-3442
(541) 640-3031
(541) 550-1495
Mailing address
516 SW 13TH ST STE 201, BEND, OR 97702-3442
(541) 640-3031
(541) 550-1495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L15951
OR
Other
Enumeration date
03/18/2017
Last updated
12/30/2024
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