Individual
BRANDON ROYCE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32405 DIAGONAL RD, HERMISTON, OR 97838-7503
(541) 567-2593
(888) 977-2106
Mailing address
32405 DIAGONAL RD, HERMISTON, OR 97838-7503
(541) 567-2593
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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