Dyer, Brandon Alan
Dyer, Brandon Alan is an sole proprietor health care provider with primary practice located at 1130 Nw 22Nd Ave Ste Ll50 , Portland OR 97210-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Dyer, Brandon Alan can be contacted via phone (503) 413-7135.Contact Information
Primary practice address
1130 Nw 22Nd Ave Ste Ll50
Portland OR 97210-2900
Phone: (503) 413-7135
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD60935619 | Washington |
Profile Details
| NPI number | 1295155968 |
|---|---|
| LBN Legal business name | Dyer, Brandon Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2014 |
| Last updated | Mar 26th, 2021 - 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 | 1295155968 | NPPES |
| Washington | MEDICAID | 1295155968 |
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