Myers, Brandi Sue

Myers, Brandi Sue is an sole proprietor health care provider with primary practice located at 5225 Se 28Th Ave , Portland OR 97202-4506. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Myers, Brandi Sue can be contacted via phone (503) 235-8594.

Contact Information

Primary practice address
5225 Se 28Th Ave Portland OR 97202-4506
Phone: (503) 235-8594
Fax: (503) 235-3315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP00355 Oregon

Profile Details

NPI number 1689700486
LBN Legal business name Myers, Brandi Sue
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Feb 20th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689700486 NPPES
Oregon MEDICAID 269549

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