Individual
CATHY J BRUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHN
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030
(503) 988-5157
(503) 988-5185
Mailing address
421 SW OAK ST., STE.210, PORTLAND, OR 97204
(503) 988-3663
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096007042RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22959
—
OR
05
—
43211
—
OR
Enumeration date
02/22/2012
Last updated
02/22/2012
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