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Contact Information

EVELYN M BROSNAN, MD
4805 NE GLISAN ST STE 11N
PORTLAND, OR97213-2933
 Phone: 503-215-1350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EVELYN M BROSNAN · (Female)

NPI # 1497098941
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2013
Last updated 11/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD192507
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER - (Acute Care)
    1500 DIVISION STREET
    OREGON CITY, OR 97045
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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