Jerray Anthony Brannon in Portland - Case Manager/care Coordinator

Jerray Anthony Brannon - NPI 1801940325

Jerray Anthony Brannon is a Case Manager/care Coordinator in Portland, Oregon. Jerray Anthony Brannon practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Jerray Anthony Brannon is 1801940325. The last update date is 2007-07-08.

Jerray Anthony Brannon's current location address is 4715 Ne 103rd Ave, Portland, Oregon. You can contact this provider via phone number 5033097071 and fax number 5034931635. The mailing address for Jerray Anthony Brannon is 4715 Ne 103rd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerray Anthony Brannon
Address 4715 Ne 103rd Ave, Portland, Oregon
Phone Number 5033097071
Fax Number 5034931635
Sole Proprietor Y
Credentials BS QMHA

NPI Number Detail

NPI Number 1801940325
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4715 Ne 103rd Ave
City Portland
State Oregon (OR)
Post Code 972203343
Phone Number 5033097071
Fax Number 5034931635

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

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FAQs about Jerray Anthony Brannon

What is the unique provider identifier assigned to Jerray Anthony Brannon?

The Jerray Anthony Brannon has been issued the NPI (National Provider Identifier) 1801940325 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jerray Anthony Brannon is located?

The Jerray Anthony Brannon is situated at the following address: 4715 Ne 103Rd Ave, Portland, OR, 972203343.

What is Jerray Anthony Brannon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerray Anthony Brannon's area of specialization is Case Manager/care Coordinator, and the corresponding taxonomy code that categorizes this field of practice is 171M00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1801940325 to Jerray Anthony Brannon?

The Centers for Medicare & Medicaid Services assigned the 1801940325 to Jerray Anthony Brannon on 2007-01-22.

When was the information pertaining to Jerray Anthony Brannon most recently updated or revised?

The details related to Jerray Anthony Brannon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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