Healthcare Provider Details
I. General information
NPI: 1740623792
Provider Name (Legal Business Name): JOSEPH BROOKS ALSBERGE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/09/2013
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14406 NE 20TH AVE
VANCOUVER WA
98686-1448
US
IV. Provider business mailing address
500 NE MULTNOMAH ST
PORTLAND OR
97232-2023
US
V. Phone/Fax
- Phone: 800-813-2000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MD60952548 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: