Bruner, Amy R
Bruner, Amy R is an individual health care provider with primary practice located at 1975 Nw 167Th Pl Ste 100 , Beaverton OR 97006-4908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Bruner, Amy R can be contacted via phone (503) 804-3861.Contact Information
Primary practice address
1975 Nw 167Th Pl Ste 100
Beaverton OR 97006-4908
Phone: (503) 804-3861
Fax: (503) 662-6541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD20343 | Oregon |
Profile Details
| NPI number | 1194757708 |
|---|---|
| LBN Legal business name | Bruner, Amy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Oct 5th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194757708 | NPPES |
| Oregon | MEDICAID | 150667 |
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