THOMAS DALE BRIESKE

BEND, OR
NPI1144948803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA218471)
Enumeration Date2022-08-18
Last Update Date2024-04-08
Business Address
THOMAS DALE BRIESKE
815 SW BOND ST
BEND, OR 97702-3593
Phone number: 541-382-4900
Mailing Address
THOMAS DALE BRIESKE
PO BOX 6048
BEND, OR 97708-6048
Phone number: 541-382-4900
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