IndividualActive
Brent Brosnan
NPI 1205627494 · Specialist · Heppner, OR
Provider details
- NPI number
- 1205627494
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
68982 Willow Creek Rd # 536
Heppner, OR 97836-6258
Phone: (541) 676-5125
Fax: (541) 676-5186
Approximate (ZIP-level) locationGet directions
Mailing address
68982 Willow Creek Rd # 536
Heppner, OR 97836-6258
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.