Individual
SAMIELLE KATHLEEN BRANCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1133 NW 11TH AVE APT 317, PORTLAND, OR 97209-3036
(401) 527-2835
Mailing address
1133 NW 11TH AVE APT 317, PORTLAND, OR 97209-3036
(401) 527-2835
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD159617
OR
Other
Enumeration date
04/24/2007
Last updated
10/30/2012
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