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Contact Information

AMYBRUNERMD LLC
1975 NW 167TH PL STE 100
BEAVERTON, OR97006-4908
 Phone: 971-347-3192
 Fax: 503-662-6541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for AMYBRUNERMD LLC · (Female)

NPI # 1780141804
Status Active
Credentials
Entity Individual
Enumeration date 02/25/2019
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 1194757708
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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