Brenda Peck
Respiratory Therapist, Registered in Gresham, OR. Individual provider (NPI-1).
NPI number1982187365
StatusActive
Last updated in NPPESSep 11, 2018
Details
- NPI
- 1982187365
- Entity type
- Individual (NPI-1)
- Name
- Brenda Peck
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2018
- Last updated
- Sep 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227900000X | Respiratory Therapist, Registered | P-000594 | OR | Yes |
| 2279H0200X | Respiratory Therapist, Registered, Home Health | LR60450229 | WA | |
| 2279H0200X | Respiratory Therapist, Registered, Home Health | P-00594 | OR | |
| 2279P3900X | Respiratory Therapist, Registered, Neonatal/Pediatrics | LR60450229 | WA | |
| 2279P3900X | Respiratory Therapist, Registered, Neonatal/Pediatrics | P-000594 | OR | |
| 227900000X | Respiratory Therapist, Registered | LR60450229 | WA | |
| 2279P4000X | Respiratory Therapist, Registered, Patient Transport | P-000594 | OR | |
| 2279P4000X | Respiratory Therapist, Registered, Patient Transport | LR60450229 | WA |
Practice location
1727 Sw 4th StGresham, OR 97080-6716
Phone 503-449-3804
Mailing address
1727 Sw 4th StGresham, OR 97080-6716
Phone 503-449-3804
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