Brenda Backhaus, RN
Individual provider Active NPI General Practice Registered Nurse · Gladstone, OR
NPI 1982124970 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1982124970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 200240922RN (OR)
- Practice address
- 5935 Sladen Ave
Gladstone, OR 97027-1952 - Phone
- (503) 740-5935
- Fax
- (503) 212-0175
- NPI assigned
- Jun 21, 2017
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200240922RN | OR | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 200240922RN | OR | Yes |
Addresses
Primary practice location
5935 Sladen Ave
Gladstone, OR 97027-1952
Mailing address
5935 Sladen Ave
Gladstone, OR 97027-1952
Phone (503) 740-5935
Other providers in Gladstone, OR
- Jack R Agen
- Natalie Elizabeth Arakelian
- Julia A. Arambul
- Shelley Atkeson
- Aura Integrative Health LLC
- Heather Baeckel
- Molly C Bair
- Wendy Jo Ballard-Turner
- Gregory Thomas Bangs
- Analiese Bannister
All providers in Gladstone, OR · General Practice Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.