BRENT DEMANBY

PORTLAND, OR
NPI1417547555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA213402)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IL  1180085)
Enumeration Date2021-01-22
Last Update Date2025-07-15
Business Address
BRENT DEMANBY PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7820
Mailing Address
BRENT DEMANBY PA-C
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855