Individual
BRETT L RASMUSSEN PA-C
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1716 WILLIAMS HWY, GRANTS PASS, OR 97527-5661
(541) 474-4527
Mailing address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA152949
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA152949
LICENSE
OR
Enumeration date
10/15/2010
Last updated
07/10/2023
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