Individual
BRANDI KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
Mailing address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
201507746RN
OR
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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