Craig Gerald Brooksby MD

NPI 1881887552 - Radiology - 2085R0202X

NPI Details
NPI 1881887552
Gender Male
Enumeration Date 08/24/2007
Last Updated 05/23/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
MAIL CODE L340
PORTLAND OR, 97239-3011, US
Phone (503) 494-8311
Fax (503) 494-9663
Business Location
3181 SW SAM JACKSON PARK RD
MAIL CODE L340
PORTLAND OR, 97239-3011, US
Phone (503) 494-8311
Fax (503) 494-9663
Toxanomy
Taxonomy Code 2085R0202X
License State Oregon
License Number PG155713
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According to our database, Dr. Craig Gerald Brooksby MD NPI is 1881887552, taxonomy code is 2085R0202X and license number is PG155713, license state is located at Oregon. Craig Gerald Brooksby MD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Craig Gerald Brooksby MD has the Individual type.

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1881887552 NPI number is provided on an as is basis without warranty of any kind. 1881887552 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Gerald Brooksby MD are for informational purposes only.