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Individual

BRIAN THOMAS PASKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15285 NW CENTRAL DR, PORTLAND, OR 97229-0973
(503) 216-9060
(503) 216-9099
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME82939
FL
207Q00000X
Family Medicine Physician
MD126278
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500616009
OR
Enumeration date
07/10/2006
Last updated
04/13/2012
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