Amy R Bruner
Gynecologist
1975 Nw 167th Pl Ste 100
Beaverton
, Oregon 97006-4908
Amy R Bruner
Gynecologist
1975 Nw 167th Pl Ste 100
Beaverton
, Oregon 97006-4908
(503) 662-6541
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Amy R Bruner
- 1975 Nw 167th Pl Ste 100
- Beaverton, OR
- Zip : 97006-4908
- Fax : (503) 662-6541
- Phone : (503) 804-3861
Second Address
- Amy R Bruner
- 1975 Nw 167th Pl Ste 100
- Beaverton, OR
- Zip : 97006-4908
- Fax : (503) 662-6541
- Phone : (503) 804-3861
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | MD20343 | OR |
National Provider Identifier
| NPI | 1194757708 |
|---|---|
| Provider Name | Amy R Bruner |
| First Address | Beaverton, OR 97006-4908 |
| Second Address | Beaverton, OR 97006-4908 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 05/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 150667 | (05) | OR |
| G64479 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.