Brenda Backhaus, RN
Registered Nurse, General Practice in Gladstone, OR. Individual provider (NPI-1).
NPI number1982124970
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982124970
- Entity type
- Individual (NPI-1)
- Name
- Brenda Backhaus
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 200240922RN | OR | Yes |
Practice location
5935 Sladen AveGladstone, OR 97027-1952
Phone 503-740-5935 · Fax 503-212-0175
Mailing address
5935 Sladen AveGladstone, OR 97027-1952
Phone 503-740-5935 · Fax 503-212-0175
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