Individual
BRANDI ACACIA MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2163 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 472-4197
(503) 434-2886
Mailing address
2163 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 472-4197
(503) 434-2886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26831
OR
Other
Enumeration date
09/13/2006
Last updated
07/18/2011
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