Provider Demographics
NPI:1972397776
Name:EDMUNSON, BRIANNA ALYSE
Entity type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:ALYSE
Last Name:EDMUNSON
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:BRIANNA
Other - Middle Name:ALYSE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2626 SW MARIPOSA LOOP
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-8924
Mailing Address - Country:US
Mailing Address - Phone:541-527-5604
Mailing Address - Fax:
Practice Address - Street 1:215 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2113
Practice Address - Country:US
Practice Address - Phone:541-388-8459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator