Individual
RITA MERLE BRAZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD #L471, PORTLAND, OR 97239-9773
(503) 494-8276
(503) 494-2025
Mailing address
3181 SW SAM JACKSON PARK RD # L471, PORTLAND, OR 97239-9773
(503) 494-8276
(503) 494-2025
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD13970
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271510
—
OR
Enumeration date
07/31/2006
Last updated
07/17/2007
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