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Individual

ANTON K BROMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19250 SW 65TH AVE, SUITE 300, TUALATIN, OR 97062-7452
(503) 692-1242
(503) 691-3615
Mailing address
19250 SW 65TH AVE, SUITE 300, TUALATIN, OR 97062-7452
(503) 692-1242
(503) 691-3615

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 10728
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170589
OR
Enumeration date
11/18/2005
Last updated
09/21/2011
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