SEAN CAROSSO BRACHVOGEL (NPI# 1184288011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184288011 |
| Entity Type | Individual |
| Full Name | SEAN CAROSSO BRACHVOGEL |
| Credential | MD, MPH |
| Practice Address |
10330 Se 32nd Ave Ste 205 Milwaukie OR 97222-6594 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5035138950 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PG194530 | OR | Student, Health Care |
| Street Address |
10330 SE 32ND AVE STE 205 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649355462 | Justin E Osborn | Family Medicine | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2006-10-27 |
| 1194345140 | Shaina L Belsky | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1134749195 | Ethan A Prairie | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1679193635 | Jeffrey M Stolsig | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1629698675 | Rubama Nasir | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1467941666 | Justin R Ferley | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2018-05-03 |
| 1295224392 | John A Yates | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2018-05-03 |
| 1083103287 | Aubrey M Miller | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222 | 2018-05-03 |
| 1588153787 | Sebastian J Reeve | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2018-05-03 |
| 1629503966 | Tyler Reimann | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015842 | Bayli Laine Curl | Student in an Organized Health Care Education/Training Program | 3430 Se Harrison St Apt C7, Milwaukie, OR 97222-6555 | 2020-08-28 |
| 1770024697 | Jessica Hu | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 250, Milwaukie, OR 97222-6587 | 2017-03-10 |
| 1528249760 | Ryda Thuch | Student in an Organized Health Care Education/Training Program | 3410 Se Wake St, Milwaukie, OR 97222-5688 | 2007-11-15 |
| 1194345140 | Shaina L Belsky | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1134749195 | Ethan A Prairie | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1679193635 | Jeffrey M Stolsig | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1629698675 | Rubama Nasir | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2020-04-20 |
| 1467941666 | Justin R Ferley | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2018-05-03 |
| 1295224392 | John A Yates | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2018-05-03 |
| 1083103287 | Aubrey M Miller | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222 | 2018-05-03 |
| Find all providers in MILWAUKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.