Most Relevant Information
Provider Data
| NPI Number: | 1003371337 |
| Provider Name: | BRANDON THOMAS CHRISTIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2019 |
| Last Updated: | 02/09/2022 |
Provider Practice Location
1060 WEBBER ST
THE DALLES
OR
970583749
Practice Location Phone/Fax
| Phone: | 5412965452 |
| Fax: |
Provider Mailing Location
419 E 7TH ST STE 207
THE DALLES
OR
970582676
Provider Mailing Phone/Fax
| Phone: | 5412965452 |
| Fax: |