MEDICARE: BRANDON SCHREINER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1710375233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON SCHREINER

Provider Business Mailing Address
First Line	:	PO BOX 959
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98907-0959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 KELLY PL
Second Line	:	234
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-8607
Country	:	US
Telephone Number	:	509-575-4084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2015
Last Update Date	:	11/26/2023

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