| Doctor Name: | DR. SONJA BRITT BORGSTROM |
| NPI Number: | 1184942989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, MPH |
| License Number: | 271656 |
| Business Practice Address: | 4411 Sw Vermont St Portland, OR - 972191020 |
| Business Phone Number: | 5034949992 |
| Business Fax Number: | 5034941967 |
| Mailing Address: | 4411 Sw Vermont St, PORTLAND |
| State: | OR |
| Postal Code: | 972191020 |
| Phone Number: | 5034949992 |
| Fax Number: | 5034941967 |
| NPI Enumeration Date: | 05/04/2010 |
| NPI Last Update Date: | 03/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 271656 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |