NPI 1982124970 · live from the CMS NPI Registry
Brenda Backhaus, RN
Registered Nurse, General Practice in Gladstone, OR. National Provider Identifier 1982124970, active.
NPI record
| NPI | 1982124970 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 5935 Sladen Ave, Gladstone, OR 97027 |
| Practice phone | 503-740-5935 |
| Enumerated | June 21, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 200240922RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.