- Practice location
- 37875 Jasper Lowell RD, Jasper, OR 97438-9751
- Phone
- 541-747-1235
- Fax
- —
- Last updated
- February 12, 2022
Kieran Braddock is a Counselor, Mental Health based in Jasper, OR. Kieran Braddock practices in Jasper, OR. The NPI Number for Kieran Braddock is 1891440434. The current practice location address for Kieran Braddock is 37875 Jasper Lowell RD, Jasper, OR 97438-9751 and can be reached out via phone at 541-747-1235.
Provider Profile Details
- NPI Number
- 1891440434
- Provider Name
- Kieran Braddock
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 37875 Jasper Lowell RD, Jasper, OR 97438-9751
- Phone Number
- 541-747-1235
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 12, 2022
- Last Update Date
- February 12, 2022
- Certification Date
- February 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 37875 Jasper Lowell RD
Jasper, OR 97438-9751 - City
- Jasper
- State
- Oregon
- Zip
- 97438-9751
- Phone Number
- 541-747-1235
Provider Business Mailing Address Details
- Address
- 1985 Tabor St
Eugene, OR 97401-6539 - City
- Eugene
- State
- OR
- Zip
- 97401-6539
- Phone Number
- 661-904-8183
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Jasper, OR
View all Counselor, Mental Health providers in Jasper →Frequently Asked Questions
What is the NPI number of Kieran Braddock?
The NPI number of Kieran Braddock is 1891440434. It was assigned on February 12, 2022 and is currently active in the NPPES registry.
What is the specialty of Kieran Braddock?
Kieran Braddock is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Kieran Braddock practice?
The practice location is 37875 Jasper Lowell RD, Jasper, OR 97438-9751. The office can be reached at 541-747-1235 (phone).
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 1891440434 directly on the NPPES registry website.