Brust, Evelyn
Brust, Evelyn is an individual health care provider with primary practice located at 1245 Nw Galveston Ave Westside Family Clinic, Bend OR 97701-2433. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Acupuncturist is her primary health care specialty. Brust, Evelyn can be contacted via phone (541) 383-3424.Contact Information
Primary practice address
1245 Nw Galveston Ave Westside Family Clinic
Bend OR 97701-2433
Phone: (541) 383-3424
Fax: (541) 383-2227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC00159 | Oregon |
| Other Service Providers / Naturopath | 175F00000X | 0817 | Oregon |
Profile Details
| NPI number | 1841331493 |
|---|---|
| LBN Legal business name | Brust, Evelyn |
| Credentials | N.D., L.AC. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years 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 | 1841331493 | NPPES |
| Oregon | Other | 0817 | STATE ND LICENSE |
| Oregon | Other | AC00159 | STATE ND LICENSE |
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