Kathryn Broadaway, CRM

NPI #1134871395 in Prineville, Oregon

Provider Information

NPI Number: 1134871395
Entity Type: Individual
Name: Kathryn Broadaway, CRM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRM
Enumeration Date: Jan 19, 2022
Last Updated: Jan 19, 2022

Practice Location

Address: 1103 NE ELM ST
City: Prineville
State: Oregon
ZIP Code: 97754-1664
Phone: (541) 306-4566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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