Individual
SANDRA CAROL BROEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
(503) 668-5246
Mailing address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
(503) 668-5246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD157517
OR
207R00000X
Internal Medicine Physician
26866
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933004
—
AL
05
—
009933006
—
AL
05
—
009933007
—
AL
05
—
009933008
—
AL
01
—
051529784
BLUE CROSS
AL
01
—
051529785
BLUE CROSS
AL
01
—
051529786
BLUE CROSS
AL
01
—
051529787
BLUE CROSS
AL
Enumeration date
06/07/2006
Last updated
03/17/2018
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