Provider Demographics
NPI:1083426480
Name:DR BRIANNA BRANSTETER DC, LLC
Entity type:Organization
Organization Name:DR BRIANNA BRANSTETER DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANSTETER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-801-4230
Mailing Address - Street 1:2681 NE NORTH CIVET CT
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6488
Mailing Address - Country:US
Mailing Address - Phone:503-801-4230
Mailing Address - Fax:
Practice Address - Street 1:19820 VILLAGE OFFICE CT STE 202
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2947
Practice Address - Country:US
Practice Address - Phone:541-480-4079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty