Individual
DR. BRIAN C RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OREGON HEALTH AND SCIENCE UNIVERSITY, PORTLAND, OR 97239
(503) 494-8562
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(518) 339-9006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
164265
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2011
Last updated
03/26/2014
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