Dr. Alexander Gregory Brodsky
Dental Public Health
3653 Se 34th Ave
Portland
, Oregon 97202-3034
Dr. Alexander Gregory Brodsky
Dental Public Health
3653 Se 34th Ave
Portland
, Oregon 97202-3034
(503) 488-5984
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Alexander Gregory Brodsky
- 10618 Sw 43rd Ave
- Portland, OR
- Zip : 97219-6992
- Phone : (503) 488-5984
Second Address
- Dr. Alexander Gregory Brodsky
- 3653 Se 34th Ave
- Portland, OR
- Zip : 97202-3034
- Fax : (503) 988-5642
- Phone : (503) 988-4410
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | D7465 | OR |
National Provider Identifier
| NPI | 1063591931 |
|---|---|
| Provider Name | Dr. Alexander Gregory Brodsky |
| First Address | Portland, OR 97219-6992 |
| Second Address | Portland, OR 97202-3034 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2006 |
| Last Update Date | 08/07/2007 |
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.