Dionne C Bronson
Individual provider Active NPI Peer Specialist · Pendleton, OR
NPI 1871014746 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1871014746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- THW1938 (OR)
- Practice address
- 46314 Timine Way
Pendleton, OR 97801-9417 - Phone
- (541) 966-9830
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW1938 | OR | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | THW1938 | OR | Yes |
Addresses
Primary practice location
46314 Timine Way
Pendleton, OR 97801-9417
Mailing address
46314 Timine Way
Pendleton, OR 97801-9417
Phone (541) 966-9830
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.