Individual
BRANDON BANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 SW 15TH AVE, PORTLAND, OR 97205
(503) 274-4994
(503) 274-4946
Mailing address
2222 NW LOVEJOY ST, SUITE 304, PORTLAND, OR 97210-3033
(503) 274-4994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD25817
OR
Other
Enumeration date
08/31/2006
Last updated
12/01/2015
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