Individual
DR. BRENT L SODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 NW MERCY DR STE 330, ROSEBURG, OR 97471-2348
(541) 677-3600
(541) 677-3601
Mailing address
2801 NW MERCY DR STE 330, ROSEBURG, OR 97471-2348
(541) 677-3600
(541) 677-3601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD187291
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2012
Last updated
05/02/2018
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