Organization
MILAN SOSNOVEC, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAN SOSNOVEC MD (PRESIDENT)
(503) 284-8841
Entity
Organization
Contact information
Practice address
12250 SW 2ND ST, BEAVERTON, OR 97005-2828
(503) 292-6238
(503) 601-0049
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184747
—
OR
Enumeration date
08/29/2006
Last updated
10/28/2008
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