LARISSA M BRODSKY

PORTLAND, OR
NPI1578090197
Former NameLARISSA SHARMA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD200407)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG183186)
Enumeration Date2017-05-12
Last Update Date2022-12-13
Business Address
LARISSA M BRODSKY MD
3036 NE MLK JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
Mailing Address
LARISSA M BRODSKY MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: