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1932894102
BRENNA SUE OSTERTAG
PORTLAND, OR
NPI
1932894102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PG215368)
Enumeration Date
2023-04-05
Last Update Date
2023-06-18
Business Address
BRENNA SUE OSTERTAG MD
5050 NE HOYT ST STE 540
PORTLAND, OR 97213-2985
Phone number: 503-215-6600
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Mailing Address
BRENNA SUE OSTERTAG MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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