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Individual

MICHAEL LYNN BRISBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1830 BLANKENSHIP RD, STE 200, WEST LINN, OR 97068-4181
(503) 655-3851
(503) 655-3318
Mailing address
PO BOX 390, MCMINNVILLE, OR 97128-0390
(541) 561-1944

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200560001CRNA
OR

Other

Enumeration date
06/01/2006
Last updated
09/22/2008
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