Individual
MR. BRETT D O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4480 HIGHWAY 101 STE G, FLORENCE, OR 97439-8831
(541) 997-1251
Mailing address
4480 HIGHWAY 101 STE G, FLORENCE, OR 97439-8831
(541) 997-1251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202002300NP-PP
OR
363L00000X
Nurse Practitioner
NP1110A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500777607
—
OR
Enumeration date
11/01/2011
Last updated
12/21/2020
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