IndividualActive
Brandon Gardner
NPI 1548076383 · Substance Abuse Rehabilitation Facility · Hermiston, OR
Provider details
- NPI number
- 1548076383
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
32405 Diagonal Rd
Hermiston, OR 97838-7503
Phone: (541) 567-2593
Fax: (888) 977-2106
Approximate (ZIP-level) locationGet directions
Mailing address
32405 Diagonal Rd
Hermiston, OR 97838-7503
Registry dates
- Enumerated
- 2024-12-06
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.