Individual
MRS. DINA ANNE BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 650-6255
Mailing address
1210 S FEDERAL ST, UNIT B, CHICAGO, IL 60605-3378
(630) 337-6882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO167786
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO167786
MEDICAL LICENSE
OR
01
—
OP60499337
MEDICARE
WA
Enumeration date
05/05/2010
Last updated
04/01/2016
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