Individual
BROOKLYN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
OHSU MEDICINE HEMATOLOGY & MEDICAL ONCOLOGY, 3181 SW SAM JACKSON PARK RD; L586, PORTLAND, OR 97239
(503) 494-8584
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5058
(503) 494-1552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2304378
MA
163W00000X
Registered Nurse
687345
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
201800724NP-PP
OR
Other
Enumeration date
03/14/2015
Last updated
08/17/2018
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