SearchOregon101YM0800X

Mia Broberg

NPI 1720509813 · on the registry since 2017 · sole proprietor

Practice

Address
1595 Cottage St Ne
Salem, OR 97301
Phone
(503) 897-1289

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2017-06-29

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