Individual
ROBERT S BROOKSHIRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4114 MAPLE ST, VANCOUVER, WA 98660-1647
(360) 699-8754
(360) 750-6262
Mailing address
6347 NE 26TH AVE, PORTLAND, OR 97211-6048
(971) 235-9779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00907
OR
363A00000X
Physician Assistant
Primary
PA10004442
WA
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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