Amber Dawn Brandt

Individual provider Active NPI Occupational Therapy Assistant · Hermiston, OR

NPI 1780153395 · NPPES record last updated Nov 13, 2018

Key facts

NPI
1780153395
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
357864 (OR)
Practice address
970 W Juniper Ave
Hermiston, OR 97838-2118
Phone
(541) 567-8337
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
357864ORMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 357864 OR Yes

Addresses

Primary practice location

970 W Juniper Ave
Hermiston, OR 97838-2118

Mailing address

970 W Juniper Ave
Hermiston, OR 97838-2118
Phone (573) 823-5089

Other providers in Hermiston, OR

All providers in Hermiston, OR · Occupational Therapy Assistant in Oregon

Sources for this page

Verify at the official NPI Registry.