Organization
KRISTIN BROOKS PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN BROOKS PMHNP (OWNER)
(541) 350-6913
Entity
Organization
Contact information
Practice address
965 SW EMKAY DR, STE. 200, BEND, OR 97702-3598
(541) 350-6913
Mailing address
1805 NE BERG WAY, BEND, OR 97701-4270
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201050080NP
OR
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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