Individual
BRYHANNA CHRISTINECHARLES MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085008846
IL
363A00000X
Physician Assistant
Primary
PA209821
OR
363AS0400X
Surgical Physician Assistant
PA209821
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2209836
—
WA
05
—
500807348
—
OR
Enumeration date
01/02/2021
Last updated
06/17/2026
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