Brook Adale Witty

NPI #1508673260 in Enterprise, Oregon

Provider Information

NPI Number: 1508673260
Entity Type: Individual
Name: Brook Adale Witty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 606 MEDICAL PKWY
City: Enterprise
State: Oregon
ZIP Code: 97828-5140
Phone: (541) 426-4524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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