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Individual

TRINA A BRODSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7431 NW EVERGREEN PKWY, SUITE 100, HILLSBORO, OR 97124-5831
(503) 734-3700
(503) 473-8462
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
(503) 855-1620
(503) 840-3299

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD22493
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288410
OR
01
R107219
MEDICARE PTAN
OR
Enumeration date
11/04/2005
Last updated
06/01/2016
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