Provider Demographics
NPI:1285201368
Name:BRANSTETER, BRIANNA LOUISE (DC)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:LOUISE
Last Name:BRANSTETER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:BRIANNA
Other - Middle Name:LOUISE
Other - Last Name:EDGINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
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:503-801-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34811111NS0005X
OR6397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician