Individual
BRANT WILLIAM ULLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25030 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9816
(971) 434-0080
(503) 946-3891
Mailing address
25030 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9816
(971) 434-0080
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD171554
OR
Other
Enumeration date
06/27/2008
Last updated
02/11/2025
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