DAWN RENAE BROCKETT

SALEM, OR
NPI1154786614
Former NameDAWN RENAE SMAIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201805045NP-PP)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MN  4332)
Enumeration Date2015-12-28
Last Update Date2022-12-20
Business Address
Mrs. DAWN RENAE BROCKETT
1535 LIBERTY ST SE
SALEM, OR 97302-4345
Phone number: 866-972-0235
Mailing Address
Mrs. DAWN RENAE BROCKETT
2459 SE TUALATIN VALLEY HWY # 416
HILLSBORO, OR 97123-7919
Phone number: