Individual
BRANDON COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
(541) 756-9296
Mailing address
2192 MCPHERSON ST, NORTH BEND, OR 97459-3339
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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