person
Mr. Brandon Bosch, PMHNP,FNP-BC
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1902203367

Brandon Bosch is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Brandon Bosch practices in Portland, OR and has the professional credentials of PMHNP,FNP-BC. The NPI Number for Brandon Bosch is 1902203367 and holds a License No. AP60801886 (Oregon).

The current practice location address for Brandon Bosch is 4212 Se Division St Ste 100, Portland, OR and can be reached out via phone at 503-963-2575 and via fax at 503-327-8796.

Location: 4212 Se Division St Ste 100, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1902203367
Provider Name
Brandon Bosch
Credential
PMHNP,FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4212 Se Division St Ste 100, Portland, OR, 97207-8459
Phone Number
503-963-2575
Fax Number
503-327-8796
Provider Enumeration Date
12/01/2014
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
4212 Se Division St Ste 100
City
State
Zip
97206-1680
Phone Number
503-963-2575
Fax Number
503-327-8796
person
Provider Business Mailing Address Details
Address
4212 Se Division St Ste 100
City
State
Zip
97206-1680
Phone Number
503-963-2575
Fax Number
503-327-8796
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10009817 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP60801886 (Washington)
Definition
Definition to come...
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