Individual
MR. BRYON ANTHONY CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-4661
Mailing address
PO BOX 5000 UNIT 65, PORTLAND, OR 97208-5000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
60850422
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
202003523CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP61004259
WA
Other
Enumeration date
07/18/2019
Last updated
12/23/2025
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