MICHAEL A. BRODY

PORTLAND, OR
NPI1407900582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
MICHAEL A. BRODY PMHNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6176
Mailing Address
MICHAEL A. BRODY PMHNP
2537 NE 48TH AVE
PORTLAND, OR 97213-1923
Phone number: