Milan Sosnovec, Md, Pc | |
12250 Sw 2nd St Beaverton OR 97005-2828 | |
(503) 292-6238 | |
(503) 601-0049 |
Full Name | Milan Sosnovec, Md, Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 12250 Sw 2nd St, Beaverton, Oregon |
Authorized Official Name and Position | Milan Sosnovec (PRESIDENT) |
Authorized Official Contact | 5032848841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Milan Sosnovec, Md, Pc 3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 Ph: (503) 284-8841 | Milan Sosnovec, Md, Pc 12250 Sw 2nd St Beaverton OR 97005-2828 Ph: (503) 292-6238 |
NPI Number | 1558470328 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 10/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558470328 | NPI | - | NPPES |
184747 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD10928 (Oregon) | Primary |
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