Search › Oregon › 101YA0400X
Philip Broesamle
NPI 1427444264 · on the registry since 2015 · sole proprietor
Practice
- Address
- 60 Mallory Ln.
Shady Cove, OR 97539 - Phone
- (541) 878-2658
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2015-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon