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1497143077
MICHAEL JOHNSON BRASK
NEWBERG, OR
NPI
1497143077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA182326)
Enumeration Date
2015-01-05
Last Update Date
2020-04-29
Business Address
Mr. MICHAEL JOHNSON BRASK PA-C
1001 N PROVIDENCE DR
NEWBERG, OR 97132-7485
Phone number: 503-537-1785
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Mailing Address
Mr. MICHAEL JOHNSON BRASK PA-C
2216 ARBOR DR
WEST LINN, OR 97068-1204
Phone number: 971-404-9118
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