Individual
BRETT D BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT (R)
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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