SANDRA CAROL BROEREN MD NPI 1285674499

NPI Information

  • NPI: 1285674499
  • Provider Name: SANDRA CAROL BROEREN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 17055 RUBEN LN
    SANDY, OR
    ZIP 97055
  • Phone: (503) 668-8002

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NPI Details

Sandra Carol Broeren, MD is a family medicine in Sandy, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Sandra Carol Broeren, MD NPI is 1285674499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17055 RUBEN LN
SANDY, OR
ZIP 97055-276
Phone: (503) 668-8002
Fax: (503) 668-5246

The enumeration date for this NPI number is 6/7/2006 and was last updated on 3/17/2018.

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
1207R00000XInternal Medicine26866ALABAMANo
2207Q00000XFamily MedicineMD157517OREGONYes

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
1051529787OTHERALABAMABLUE CROSS
2009933007MEDICAIDALABAMA
3051529784OTHERALABAMABLUE CROSS
4051529785OTHERALABAMABLUE CROSS
5009933004MEDICAIDALABAMA
6051529786OTHERALABAMABLUE CROSS
7009933006MEDICAIDALABAMA
8009933008MEDICAIDALABAMA

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: 11/21/2025

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