Individual
BRANDON OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
149 S MAIN ST, PHOENIX, OR 97535-6631
(154) 153-5413
Mailing address
135 MEADOW SLOPE DR, TALENT, OR 97540-8693
(541) 621-7232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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