Individual
BRENT L NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
18610 NW CORNELL RD, SUITE 101, HILLSBORO, OR 97124-9204
(503) 216-9360
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA168574
OR
363AM0700X
Medical Physician Assistant
PAT510
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655918
—
OR
Enumeration date
08/22/2008
Last updated
11/12/2021
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