National Provider Identifier Database

AMYBRUNERMD LLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


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
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for AMYBRUNERMD LLC

NPI Number 1780141804
Legal business name
LBN
AMYBRUNERMD LLC
Authorized official AMY BRUNER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/25/2019
Last updated 02/12/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 1194757708

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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