Individual
BROOKE E ARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(360) 423-9550
(350) 341-3749
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 413-3710
(503) 413-4449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA156758
OR
363AM0700X
Medical Physician Assistant
BG60195546
WA
363AM0700X
Medical Physician Assistant
Primary
PA156758
OR
Other
Enumeration date
10/29/2010
Last updated
11/30/2022
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