Individual
DR. BROOKE NICOLE MAYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1500 NW BETHANY BLVD, SUITE 240, BEAVERTON, OR 97006-5208
(503) 644-7300
(503) 641-5179
Mailing address
1500 NW BETHANY BLVD, SUITE 240, BEAVERTON, OR 97006-5208
(503) 644-7300
(503) 641-5179
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
A97927
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MD27886
OR
Other
Enumeration date
04/21/2011
Last updated
04/24/2011
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