Individual
BRANDEN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
250 NW 1ST ST, CORVALLIS, OR 97330-4836
(458) 217-3040
Mailing address
PO BOX 2566, LEBANON, OR 97355-0030
(541) 908-6118
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000107205
OR
Other
Enumeration date
04/29/2017
Last updated
03/06/2023
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