IndividualActive
Alexander Brodsky, DMD
NPI 1063591931 · Public Health Dentistry · Portland, OR
Provider details
- NPI number
- 1063591931
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D7465 (OR)
Practice location
3653 Se 34th Ave
Portland, OR 97202-3034
Phone: (503) 988-4410
Fax: (503) 988-5642
Mailing address
10618 Sw 43rd Ave
Portland, OR 97219-6992
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.