BRANDON FODE
NPI 1033862768
Counselor - Mental Health in Grants Pass, OR
Active since February 02, 2022
About Brandon Fode NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON FODE (NPI 1033862768) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since February 2022.
NPPES Registry Identity
NPI1033862768
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRANDON FODE
Location Address402 NW F STGrants Pass, OR 97526-1947
Mailing Address201 W Main St Ste 3eMedford, OR 97501-2744 · (541) 414-1720
Phone(541) 479-2966
Sole ProprietorNo
Enumeration DateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
✔ NPI 1033862768 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
402 NW F ST, Grants Pass, OR 97526
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033862768, enumerated as an "individual" on February 02, 2022.
The provider is located at 402 NW F ST GRANTS PASS, OR 97526 and the phone number is (541) 479-2966.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
