Individual
DR. THEODORE PAUL BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
9019 SW 15TH AVE, PORTLAND, OR 97219-4239
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD1934419
OR
Other
Enumeration date
03/22/2014
Last updated
08/05/2020
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