Active NPIIndividual provider

Kenneth Branson, CRM

Peer Specialist in Bend, Oregon

NPI Number1578162145
Practice location
389 SW Scalehouse CT Ste 130, Bend, OR 97702-3241
Fax
541-550-2011
Last updated
October 23, 2020

Kenneth Branson is a Peer Specialist based in Bend, OR. Kenneth Branson practices in Bend, OR and has the professional credentials of CRM. The NPI Number for Kenneth Branson is 1578162145 and holds a License No. 20-CRM-273 (OR). The current practice location address for Kenneth Branson is 389 SW Scalehouse CT Ste 130, Bend, OR 97702-3241 and can be reached out via phone at 541-306-4446 and via fax at 541-550-2011.

Provider Profile Details

NPI Number
1578162145
Provider Name
Kenneth Branson
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
389 SW Scalehouse CT Ste 130, Bend, OR 97702-3241
Phone Number
541-306-4446
Fax Number
541-550-2011
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Provider Enumeration Date
October 23, 2020
Last Update Date
October 23, 2020
Certification Date
October 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
389 SW Scalehouse CT Ste 130
Bend, OR 97702-3241
City
Bend
State
Oregon
Zip
97702-3241
Phone Number
541-306-4446
Fax Number
541-550-2011
Bend, OR 97702Get directions →

Provider Business Mailing Address Details

Address
389 SW Scalehouse CT Ste 130
Bend, OR 97702-3241
City
Bend
State
OR
Zip
97702-3241
Phone Number
541-306-4446
Fax Number
541-550-2011

License Information

License Number
20-CRM-273
License State
OR
Taxonomy
Peer Specialist · 175T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth Branson, CRM?

The NPI number of Kenneth Branson, CRM is 1578162145. It was assigned on October 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Kenneth Branson, CRM?

Kenneth Branson, CRM is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in OR under license number 20-CRM-273.

Where does Kenneth Branson, CRM practice?

The practice location is 389 SW Scalehouse CT Ste 130, Bend, OR 97702-3241. The office can be reached at 541-306-4446 (phone) or 541-550-2011 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578162145 directly on the NPPES registry website.

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