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Brandon Thomas Christian

Case Manager/Care Coordinator in The Dalles, OR. Individual provider (NPI-1).

NPI number1003371337
StatusActive
Last updated in NPPESFeb 9, 2022

Details

NPI
1003371337
Entity type
Individual (NPI-1)
Name
Brandon Thomas Christian
Sex
Male
Sole proprietor
No
Enumeration date
Jan 31, 2019
Certification date
Feb 9, 2022
Last updated
Feb 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1060 Webber St
The Dalles, OR 97058-3749

Phone 541-296-5452

Mailing address

419 E 7th St Ste 207
The Dalles, OR 97058-2676

Phone 541-296-5452

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