Individual
PUSHAPDEEP KAUR BRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 997-8412
(541) 902-1320
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 728-3185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD180408
OR
207R00000X
Internal Medicine Physician
MD60607238
WA
208M00000X
Hospitalist Physician
M13758
ID
208M00000X
Hospitalist Physician
MD180408
OR
208M00000X
Hospitalist Physician
MD60607238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044664500
—
MD
Enumeration date
02/23/2010
Last updated
04/23/2021
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