Individual
BRYON WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3350 SW 198TH AVE, BEAVERTON, OR 97003-2348
(503) 356-8800
Mailing address
3350 SW 198TH AVE, BEAVERTON, OR 97003-2348
(504) 356-8800
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
6631
OR
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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