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1275039208
BRANDON JAROD DEYO
PORTLAND, OR
NPI
1275039208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201704506RN)
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
BRANDON JAROD DEYO RN
12240 NE GLISAN ST
PORTLAND, OR 97230-2117
Phone number: 503-488-7720
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Mailing Address
BRANDON JAROD DEYO RN
232 NW 6TH AVENUE ATTN: BBIS - CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-501-5641
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