NPI 1710446745 · live from the CMS NPI Registry
Ian Dineen Brooks, MD
Anesthesiology in Portland, OR. National Provider Identifier 1710446745, active.
NPI record
| NPI | 1710446745 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 9427 Sw Barnes Rd Ste 495, Portland, OR 97225 |
| Practice phone | 503-216-8670 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | March 19, 2019 |
| Last updated | September 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | MD219159 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.