Sean Carosso Brachvogel, MD, MPH | |
10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | |
(503) 513-8950 | |
Not Available |
Full Name | Sean Carosso Brachvogel |
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Gender | Male |
Speciality | Family Medicine |
Location | 10330 Se 32nd Ave Ste 205, Milwaukie, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184288011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD211023 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
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Sean Carosso Brachvogel, MD, MPH Po Box 3158, Portland, OR 97208-3158 Ph: () - | Sean Carosso Brachvogel, MD, MPH 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 Ph: (503) 513-8950 |
Johanna Beth Warren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 | |
Dr. Jerrold L Snow, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 Phone: 503-908-5880 Fax: 888-475-8729 | |
Rachelle Kirsten Sherard, LPN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-1300 | |
Dr. Jennifer Dawn Herber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 | |
Joshua D Reagan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-772-4337 | |
William R Gillanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-513-8951 | |
Mrs. Elizabeth E. Callaghan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 |