Individual
BRETT LEIGH HALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
507 S RIVER ST, ENTERPRISE, OR 97828-1601
(541) 426-4502
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC168387
OR
Other
Enumeration date
12/30/2020
Last updated
01/14/2021
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