Janie Brasuell

Individual provider Active NPI Registered Nurse · The Dalles, OR

NPI 1992880207 · NPPES record last updated Jul 27, 2012

Key facts

NPI
1992880207
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN00120819 (WA)
Practice address
755 Division St Unit 315
The Dalles, OR 97058-5401
Phone
(541) 296-6222
NPI assigned
Oct 26, 2006
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

LicenseStateTypeSpecialty
RN00120819WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00120819 WA Yes

Addresses

Primary practice location

755 Division St Unit 315
The Dalles, OR 97058-5401

Mailing address

755 Division St Unit 315
The Dalles, OR 97058-5401
Phone (541) 296-6222

Other providers in The Dalles, OR

All providers in The Dalles, OR · Registered Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.