Individual
BRIAN SCOTT SALLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6101
Mailing address
2329 SE 51ST AVE, PORTLAND, OR 97215-3905
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD19012
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130058
—
OR
Enumeration date
07/31/2006
Last updated
07/08/2007
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