Individual
MICHAEL ALFONSO BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1523 NE KENNEDY LN, HILLSBORO, OR 97124-2606
(503) 844-4830
Mailing address
1523 NE KENNEDY LN, HILLSBORO, OR 97124-2606
(503) 844-4830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201140052RN
OR
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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