Brockett, Dawn Renae

Brockett, Dawn Renae is an individual health care provider with primary practice located at 1535 Liberty St Se , Salem OR 97302-4345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brockett, Dawn Renae can be contacted via phone (866) 972-0235.

Contact Information

Primary practice address
1535 Liberty St Se Salem OR 97302-4345
Phone: (866) 972-0235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201805045NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4332 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A156551 Iowa

Profile Details

NPI number 1154786614
LBN Legal business name Brockett, Dawn Renae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2015
Last updated Aug 4th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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