Individual
BRANDI SUE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5225 SE 28TH AVE, PORTLAND, OR 97202-4506
(503) 235-8594
(503) 235-3315
Mailing address
5225 SE 28TH AVE, PORTLAND, OR 97202-4506
(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
02/26/2007
Last updated
02/20/2017
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