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Amybrunermd Llc
Gynecology Physician in Beaverton, Oregon
NPI 1780141804

Amybrunermd Llc is a Gynecology Physician based in Beaverton, OR and is specialized in Gynecology. Amybrunermd Llc practices in Beaverton, OR. The NPI Number for Amybrunermd Llc is 1780141804 and holds a License No. (Oregon).

The current practice location address for Amybrunermd Llc is 1975 Nw 167Th Pl Ste 100, Beaverton, OR and can be reached out via phone at 971-347-3192 and via fax at 503-662-6541.

Location: 1975 Nw 167Th Pl Ste 100, Beaverton, OR, 97006-4908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780141804
Provider Name
Amybrunermd Llc
Credential
Provider Entity Type
Organization
Address
1975 Nw 167Th Pl Ste 100, Beaverton, OR, 97006-4908
Phone Number
971-347-3192
Fax Number
503-662-6541
Provider Enumeration Date
02/25/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194757708 05 OR
institution
Provider Business Practice Location Address Details
Address
1975 Nw 167Th Pl Ste 100
City
Beaverton
State
Oregon
Zip
97006-4908
Phone Number
971-347-3192
Fax Number
503-662-6541
person
Provider Business Mailing Address Details
Address
1975 Nw 167Th Pl Ste 100
City
Beaverton
State
Oregon
Zip
97006-4908
Phone Number
971-347-3192
Fax Number
503-662-6541
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
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Definition
Definition to come...
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