MICHAEL JOHNSON BRASK

NEWBERG, OR
NPI1497143077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA182326)
Enumeration Date2015-01-05
Last Update Date2020-04-29
Business Address
Mr. MICHAEL JOHNSON BRASK PA-C
1001 N PROVIDENCE DR
NEWBERG, OR 97132-7485
Phone number: 503-537-1785
Mailing Address
Mr. MICHAEL JOHNSON BRASK PA-C
2216 ARBOR DR
WEST LINN, OR 97068-1204
Phone number: 971-404-9118