Individual provider · Type 1 NPI
Brandon Bosch, PMHNP, FNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1902203367
Active
Practice location
4212 SE Division St Ste 100
Portland, OR 97206-1680
Fax (503) 327-8796
Mailing address
PO Box 8459
Portland, OR 97207-8459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60801886 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10009817 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60801886 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
66 other providers at this address
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About NPI 1902203367
Brandon Bosch, PMHNP, FNP-BC's National Provider Identifier is 1902203367, issued on Dec 1, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Aug 21, 2024.