Individual
DR. BRENDA DIANE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 NW 20TH AVE, BATTLE GROUND, WA 98604-4175
(360) 952-4457
(360) 828-7409
Mailing address
18 NW 20TH AVE, BATTLE GROUND, WA 98604-4175
(360) 952-4457
(360) 828-7409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 21507
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01369929
RR MEDICARE (PH&S)
OR
Enumeration date
04/18/2007
Last updated
06/25/2024
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