Individual
LINDA S. BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 5TH STREET, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 469-2081
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000ZGBDG
CURRY MEDICAL CENTER MEDICARE PART B
OR
01
—
381322
CURRY MEDICAL CENTER MEDICARE PART A
OR
01
—
93-0937095
CURRY HEALTH DISTRICT TAX I.D.
OR
Enumeration date
04/05/2006
Last updated
06/14/2011
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