Individual provider · Type 1 NPI

Brent Jacob Brosnan

Specialist · Heppner, OR

NPI number 1205627494 Active

Practice location

68982 Willow Creek Rd # 536
Heppner, OR 97836-6258

Fax (541) 676-5186

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205627494

Brent Jacob Brosnan's National Provider Identifier is 1205627494, issued on May 15, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Heppner, OR. The record was last updated on May 15, 2025.