Kieran Braddock
Counselor, Mental Health in Jasper, Oregon
1891440434- 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. The NPI number for Kieran Braddock is 1891440434. The current practice location address is 37875 Jasper Lowell RD, Jasper, OR 97438-9751 and the office can be reached by phone at 541-747-1235. The NPI was assigned on February 12, 2022 and the record was last updated in NPPES on February 12, 2022.
●Provider Profile Details
- NPI Number
- 1891440434
- Provider Name
- Kieran Braddock
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Enumeration Date
- February 12, 2022
- Last Update Date
- February 12, 2022
- Certification Date
- February 12, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 37875 Jasper Lowell RD
Jasper, OR 97438-9751 - City
- Jasper
- State
- Oregon
- ZIP
- 97438-9751
- Country
- US
- Phone Number
- 541-747-1235
✉Business Mailing Address
- Address
- 1985 Tabor St
Eugene, OR 97401-6539 - City
- Eugene
- State
- OR
- ZIP
- 97401-6539
- Phone Number
- 661-904-8183
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all 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 at npiregistry.cms.hhs.gov.