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John Gerrit Bransford
Peer Specialist in La Pine, Oregon
NPI 1669130845

John Gerrit Bransford is a Peer Specialist based in Bend, OR. John Gerrit Bransford practices in La Pine, OR. The NPI Number for John Gerrit Bransford is 1669130845 and holds a License No. (Oregon).

The current practice location address for John Gerrit Bransford is 51340 Highway 97, La Pine, OR and can be reached out via phone at 541-322-7500 and via fax at 541-322-7565. You can also correspond with John Gerrit Bransford through the mailing address at 2577 NE COURTNEY DR, BEND, OR - 97701-7752 (mailing address contact number: 541-322-7500).

Location: 51340 Highway 97, La Pine, OR, 97701-7752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669130845
Provider Name
John Gerrit Bransford
Credential
Provider Entity Type
Individual
Gender
Male
Address
51340 Highway 97, La Pine, OR, 97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565
Provider Enumeration Date
12/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
51340 Highway 97
City
La Pine
State
Oregon
Zip
97739-9871
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider Business Mailing Address Details
Address
51340 Highway 97
City
La Pine
State
Oregon
Zip
97739-9871
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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