Individual
DR. BRIAN L PUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15755 SW SEQUOIA PKWY STE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 639-1403
Mailing address
15755 SW SEQUOIA PKWY STE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 639-1403
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD153962
OR
207X00000X
Orthopaedic Surgery Physician
ME107071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002191300
—
FL
01
—
148H4
BC/BS
FL
01
—
337264
AVMED
FL
01
—
700859
CIGNA
FL
01
—
9049527
AETNA
FL
Enumeration date
04/29/2008
Last updated
03/07/2017
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