BRIAN PARK

PORTLAND, OR
NPI1376961896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: OR  MD198267)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: PA  MT208253)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: WA  MD61228625)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: AK  213551)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-01
Last Update Date2023-11-24
Business Address
BRIAN PARK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7660
Mailing Address
BRIAN PARK
3181 SW SAM JACKSON PARK RD. SJH-2
PORTLAND, OR 97239-3011
Phone number: 503-494-7660