Brodhead, Havilah Noel
Brodhead, Havilah Noel is an sole proprietor health care provider with primary practice located at 339 Sw Century Dr Ste 201 , Bend OR 97702-1338. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brodhead, Havilah Noel can be contacted via phone (541) 316-5693.Contact Information
Primary practice address
339 Sw Century Dr Ste 201
Bend OR 97702-1338
Phone: (541) 316-5693
Fax: (541) 255-0947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 201407546NP-PP | Oregon |
Profile Details
| NPI number | 1841584844 |
|---|---|
| LBN Legal business name | Brodhead, Havilah Noel |
| Credentials | R.N., MSN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2011 |
| Last updated | Jul 6th, 2026 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841584844 | NPPES |
| Oregon | MEDICAID | 500678393 |
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