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Brandy Bentley

Peer Specialist in Medford, OR. Individual provider (NPI-1).

NPI number1710693528
StatusActive
Last updated in NPPESJan 25, 2023

Details

NPI
1710693528
Entity type
Individual (NPI-1)
Name
Brandy Bentley
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 25, 2023
Certification date
Jan 25, 2023
Last updated
Jan 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1025 E Main St
Medford, OR 97504-7689

Phone 541-779-1282

Mailing address

1003 E Main St
Medford, OR 97504-7140

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