Individual
BRANDY HALVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
211 ARNOLD AVE, STE 15, KLAMATH FALLS, OR 97603-2111
(541) 885-6312
Mailing address
211 ARNOLD AVE, STE 15, KLAMATH FALLS, OR 97603-2111
(541) 885-6312
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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