Individual
BRENDA BACKHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5935 SLADEN AVE, GLADSTONE, OR 97027-1952
(503) 740-5935
(503) 212-0175
Mailing address
5935 SLADEN AVE, GLADSTONE, OR 97027-1952
(503) 740-5935
(503) 212-0175
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
200240922RN
OR
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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