Individual
MR. BRYAN JAMES PAINTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1400 NW BUCHANAN AVE, CORVALLIS, OR 97330-5838
(541) 757-4455
Mailing address
3088 27TH AVE SE, ALBANY, OR 97322-9592
(541) 791-9281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-AT-317841
OR
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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