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BRANDI S. MYERS DPM LLC NPI 1679743876


NPI Information

NPI: 1679743876
Provider Name: BRANDI S. MYERS DPM, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7836 SE 13TH AVE
PORTLAND, OR
ZIP 97202
Phone: (503) 235-8594
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BRANDI S. MYERS DPM, LLC is a foot and ankle surgery podiatrist in Portland, OR. BRANDI S. MYERS DPM, LLC NPI is 1679743876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7836 SE 13TH AVE
PORTLAND, OR
ZIP 97202-350
Phone: (503) 235-8594
Fax: (503) 235-3315

The provider's authorized official is Brandi Sue Myers .
The authorized official title is Dr./owner and has the following contact phone number (503) 235-3315.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 12/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryDP00355OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1269549MEDICAIDOREGON
25326660001MEDICARE NSCOREGON
3V02246MEDICARE UPINOREGON
4DE9781MEDICARE PINOREGON
5R121613MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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