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Michael A. Brody, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1407900582

Michael A. Brody is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Michael A. Brody practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for Michael A. Brody is 1407900582 and holds a License No. (Oregon).

The current practice location address for Michael A. Brody is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-6176.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97213-1923
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Provider Profile Details
NPI Number
1407900582
Provider Name
Michael A. Brody
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97213-1923
Phone Number
503-494-6176
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
297915 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6176
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6176
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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