Individual
BRANDON RAY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
63360 NW BRITTA ST, BEND, OR 97701-6869
(541) 318-4845
Mailing address
402 SE CARMEN WAY, MADRAS, OR 97741-2214
(541) 777-0359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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