AMYBRUNERMD LLC NPI 1780141804

NPI Information

NPI: 1780141804
Provider Name: AMYBRUNERMD LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
6958 SW VARNS STREET
PORTLAND, OR
ZIP 97223
Phone: (503) 804-8361
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AMYBRUNERMD LLC is a gynecology obstetrics gynecology in Portland, OR. AMYBRUNERMD LLC NPI is 1780141804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6958 SW VARNS STREET
PORTLAND, OR
ZIP 97223
Phone: (503) 804-8361
Fax: (503) 662-6541

The provider's authorized official is Amy R Bruner .
The authorized official title is Owner and has the following contact phone number (503) 804-3861.

The enumeration date for this NPI number is 2/25/2019 and was last updated on 10/5/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1194757708	MEDICAID	OREGON

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: 11/14/2023

NPI Synchronization or Removal

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