EVELYN M BROSNAN


Address: 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933
Phone: 5032151350

EVELYN M BROSNAN (NPI# 1497098941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497098941
Entity Type Individual
Full Name EVELYN M BROSNAN
Credential M.D.
Practice Address 4805 Ne Glisan St Ste 11n
Portland
OR 97213-2933
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5032151350
Mailing Telephone 5032156494
Enumeration Date 2013-04-03
Last Update Date 2019-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
MD192507 OR Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Medical Center Dr, Dhmc, Lebanon, NH 037561000 6036505000

Office Location

Street Address 4805 NE GLISAN ST STE 11N
City PORTLAND
State OR
Zip Code 97213-2933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801010004 Providence Health & Services Oregon Internal Medicine 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2007-04-12
1205479441 Angie M Kang Pharmacist 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2019-10-21
1023576659 Rhezarie Mae A Agtarap Registered Nurse 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2019-03-01
1154809903 Molly Christine Davis Nurse Practitioner 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2018-08-03
1649716267 Garrett Wilson Physician Assistant 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2017-01-07
1336568369 Hasnain A Hasham Radiology 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2014-04-07
1063655967 Heidi J Hansen Dentist 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2009-04-08
1316197692 Providence Health & Services Oregon Clinic/Center 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2008-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
Find all providers in zip 97213

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366860553 Daniel Guy Internal Medicine 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 2014-04-03
1033464318 William Galen Internal Medicine 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 2012-07-23
1730348632 Sasha Elizabeth Stanton Internal Medicine 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 2008-06-05
1801010004 Providence Health & Services Oregon Internal Medicine 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2007-04-12
1649392135 Rosemarie Mannino Internal Medicine 3710 Sw Us Veteran Hospital Rd, Portland, OR 97239 2007-04-04
1649312398 Ivan P Law Md PC Internal Medicine 2707 Ne 33rd Ave, Portland, OR 97212-3649 2007-02-12
1700960671 Gina Vaccaro Internal Medicine 9135 Sw Barnes Rd Ste 261, Portland, OR 97225-6784 2006-10-25
1528073012 Brian Jay Druker Internal Medicine 3181 Sw Sam Jackson Park Rd, L952, Portland, OR 97239 2006-07-31
1265475198 Maria Gia Gregorio Internal Medicine 10859 Nw Supreme Ct, Portland, OR 97229-8816 2006-06-14
1124021753 Stacy K Lewis Internal Medicine 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6601 2005-05-27
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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