BRIANA NICOLE KETTERER REVOAL

PORTLAND, OR
NPI1841617164
Professional NameBRIANA NICOLE KETTERER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: OR  MD177704)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MD467138)
207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: PA  MD467138)
Enumeration Date2014-03-25
Last Update Date2020-06-22
Business Address
BRIANA NICOLE KETTERER REVOAL MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
Mailing Address
BRIANA NICOLE KETTERER REVOAL MD
7505 SE 22ND AVE UNIT A
PORTLAND, OR 97202-6258
Phone number: 480-227-7075