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Individual

ALANNA P BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 418-5700
(503) 418-5704
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD171420
OR
208000000X
Pediatrics Physician
MD60346692
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2030709
WA
05
500685001
OR
Enumeration date
10/12/2011
Last updated
10/31/2018
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