Brooklyn Bach, NP
Nurse Practitioner, Acute Care in Portland, OR. Individual provider (NPI-1).
NPI number1780077750
StatusActive
Last updated in NPPESAug 17, 2018
Details
- NPI
- 1780077750
- Entity type
- Individual (NPI-1)
- Name
- Brooklyn Bach
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2015
- Last updated
- Aug 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 201800724NP-PP | OR | Yes |
| 163W00000X | Registered Nurse | 687345 | NY | |
| 163W00000X | Registered Nurse | 2304378 | MA |
Practice location
Ohsu Medicine Hematology & Medical Oncology3181 Sw Sam Jackson Park Rd; L586
Portland, OR 97239
Phone 503-494-8584
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-5058 · Fax 503-494-1552
Other practice locations
27 Park St
Hyannis, MA 02601-5230
Hyannis, MA 02601-5230
Phone 508-771-1800
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