Healthcare Provider Details

I. General information

NPI: 1174547764
Provider Name (Legal Business Name): BRADEN PARTNERS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 08/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 ELM AVE STE D
KLAMATH FALLS OR
97601-6213
US

IV. Provider business mailing address

8730 HARRIS RD UNIT 204
BAKERSFIELD CA
93311-8990
US

V. Phone/Fax

Practice location:
  • Phone: 541-683-6621
  • Fax: 541-850-8461
Mailing address:
  • Phone: 661-396-3720
  • Fax: 661-832-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
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: JANE L THOMAS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 415-893-1518