Andre Broadnax
Counselor · Corvallis, OR
NPI number
1831621176
Practice location
4455 NE Highway 20Corvallis, OR 97330-9695
- Phone
- (541) 758-5900
NPI record
- NPI
- 1831621176
- Entity type
- Individual (Type 1)
- Enumeration date
- March 28, 2017
- Last updated
- March 28, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
Mailing address
3415 SE Powell BlvdPortland, OR 97202-3371
- Phone
- (503) 234-9591
About Andre Broadnax
Andre Broadnax is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 4455 NE Highway 20, Corvallis, OR 97330-9695. The NPI number 1831621176 was assigned on March 28, 2017 and the record was last updated on March 28, 2017.
Frequently asked questions
What is the NPI number of Andre Broadnax?
The NPI number is 1831621176.
What is the phone number of Andre Broadnax?
The phone number listed for the practice location is (541) 758-5900.
Where is Andre Broadnax located?
4455 NE Highway 20, Corvallis, OR 97330-9695.
What is the taxonomy code for Andre Broadnax?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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