Individual
MILAN SOSNOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12250 SW 2ND ST, SUITE #102, BEAVERTON, OR 97005-2828
(503) 292-6238
(503) 601-0049
Mailing address
12250 SW 2ND ST, SUITE #102, BEAVERTON, OR 97005-2828
(503) 292-6238
(503) 601-0049
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184747
—
OR
Enumeration date
04/02/2008
Last updated
08/17/2016
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