Individual
BRANDAN RAY SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
(503) 494-6519
Mailing address
2737 FLETCH ST, FOREST GROVE, OR 97116
(971) 201-7073
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2000431895
OR
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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