Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | DS036958 | PA |
N | 213EG0000X | General Practice | DS036958 | PA |
Y | 1223P0221X | Pediatric Dentist | D9760 | OR |
NPI | 1083884282 |
---|---|
Provider Name | Natasha Bramley |
First Address | Philadelphia, PA 19139-3114 |
Second Address | Portland, OR 97220-4077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2008 |
Last Update Date | 06/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500651153 | (05) | OR |