Broeren, Sandra Carol
Broeren, Sandra Carol is an individual health care provider with primary practice located at 17055 Ruben Ln , Sandy OR 97055-9276. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Broeren, Sandra Carol can be contacted via phone (503) 668-8002.Contact Information
Primary practice address
17055 Ruben Ln
Sandy OR 97055-9276
Phone: (503) 668-8002
Fax: (503) 668-5246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26866 | Alabama |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD157517 | Oregon |
Profile Details
| NPI number | 1285674499 |
|---|---|
| LBN Legal business name | Broeren, Sandra Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1285674499 | NPPES |
| Alabama | MEDICAID | 009933006 | |
| Alabama | Other | 051529785 | |
| Alabama | MEDICAID | 009933004 | |
| Alabama | MEDICAID | 009933007 | |
| Alabama | Other | 051529786 | |
| Alabama | MEDICAID | 009933008 | |
| Alabama | Other | 051529784 | |
| Alabama | Other | 051529787 |
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