Individual
MICAH DANIEL BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Mailing address
PO BOX 920138, DALLAS, TX 75392-0138
(877) 346-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA227669
OR
Other
Enumeration date
08/11/2023
Last updated
09/26/2025
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