Organization
BRANDI S. MYERS DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI SUE MYERS DPM (DR./OWNER)
(503) 235-3315
Entity
Organization
Contact information
Practice address
7836 SE 13TH AVE, PORTLAND, OR 97202-6350
(503) 235-8594
(503) 235-3315
Mailing address
7836 SE 13TH AVE, PORTLAND, OR 97202-6350
(503) 235-8594
(503) 235-3315
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00355
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269549
—
OR
Enumeration date
03/04/2008
Last updated
12/30/2008
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