Individual
DR. BRIAN H MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125076911
IL
207R00000X
Internal Medicine Physician
MD209327
OR
208M00000X
Hospitalist Physician
Primary
MD209327
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2019
Last updated
11/06/2024
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