NPI 1215966841 · live from the CMS NPI Registry
Justin M. Braukman, DO
Anesthesiology in Portland, OR. National Provider Identifier 1215966841, active.
NPI record
| NPI | 1215966841 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 707 Sw Washington St, Ste 700, Portland, OR 97205 |
| Practice phone | 503-299-9906 |
| Mailing address | Po Box 35147, #1801, Seattle, WA 98124 |
| Enumerated | July 3, 2006 |
| Last updated | October 10, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | DO26591 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.