Individual
DR. OSCAR J. BRISENO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274
(360) 336-9757
(360) 336-2088
Mailing address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19609
MS
207RC0000X
Cardiovascular Disease Physician
Primary
MD60082496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263654
LABOR & INDUSTRIES
WA
Enumeration date
05/25/2007
Last updated
11/30/2010
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