Individual
ERIK BRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7591
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53617
WI
207Q00000X
Family Medicine Physician
MD175978
OR
208M00000X
Hospitalist Physician
53617
WI
Other
Enumeration date
05/03/2007
Last updated
03/10/2016
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