Amybrunermd Llc

LBN: Amybrunermd Llc
Amybrunermd Llc is an health care organization with primary practice located at 1975 Nw 167Th Pl Ste 100 , Beaverton OR 97006-4908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Amybrunermd Llc can be contacted via phone (971) 347-3192, or through Bruner, Amy R via phone (503) 804-3861.

Contact Information

Primary practice address
1975 Nw 167Th Pl Ste 100 Beaverton OR 97006-4908
Phone: (971) 347-3192
Fax: (503) 662-6541
Website:
Map and Directions
Authorized official contact:
Name: Bruner, Amy R Doctor of Medicine (MD)
Phone: (503) 804-3861

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X

Profile Details

NPI number 1780141804
LBN Legal business name Amybrunermd Llc
DBA Doing business as
Authorized official Bruner, Amy R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2019
Last updated Feb 12th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780141804 NPPES
Oregon MEDICAID 1194757708

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