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Individual

JEREMY BRODHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 548-2164
(541) 548-0534

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200843322RN
OR

Other

Enumeration date
08/04/2015
Last updated
02/11/2022
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