Healthcare Provider Details

I. General information

NPI: 1386437135
Provider Name (Legal Business Name): BRUANN HARMONY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 NW YORK DR STE 205
BEND OR
97703-1572
US

IV. Provider business mailing address

12207 SW RIGGS RD
POWELL BUTTE OR
97753-1514
US

V. Phone/Fax

Practice location:
  • Phone: 541-728-3911
  • Fax:
Mailing address:
  • Phone: 503-805-7898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: OLIVER BRUCE LEBLANC
Title or Position: OWNER
Credential:
Phone: 503-805-7898