Most Relevant Information
Provider Data
| NPI Number: | 1003393026 |
| Provider Name: | BRODERIK C HELMER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2018 |
| Last Updated: | 07/23/2018 |
Provider Practice Location
1021 W 9TH ST
THE DALLES
OR
970581007
Practice Location Phone/Fax
| Phone: | 5412981920 |
| Fax: | 5412981917 |
Provider Mailing Location
3587 HEATHROW WAY
MEDFORD
OR
975044004
Provider Mailing Phone/Fax
| Phone: | 5418588170 |
| Fax: | 5418588167 |