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Brian Park
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1376961896

Brian Park is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Brian Park practices in Portland, OR. The NPI Number for Brian Park is 1376961896 and holds a License No. MT208253 (Oregon).

The current practice location address for Brian Park is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-7660 and via fax at 503-494-4258.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376961896
Provider Name
Brian Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-7660
Fax Number
503-494-4258
Provider Enumeration Date
04/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
Portland
State
Oregon
Zip
97239-3011
Phone Number
503-494-7660
Fax Number
503-494-4258
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
Portland
State
Oregon
Zip
97239-3011
Phone Number
503-494-7660
Fax Number
503-494-4258
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
213551 (Alaska)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD61228625 (Washington)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT208253 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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