Individual
MR. MICHAEL JOHNSON BRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1785
Mailing address
2216 ARBOR DR, WEST LINN, OR 97068-1204
(971) 404-9118
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA182326
OR
Other
Enumeration date
01/05/2015
Last updated
04/29/2020
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