Individual
MISS BRIGITTA IRENE TRIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5050 NE HOYT ST STE 454, PORTLAND, OR 97213-2984
(503) 215-6405
Mailing address
2730 SW MOODY AVE, CL5PA, PORTLAND, OR 97201-5042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA191943
OR
Other
Enumeration date
09/19/2016
Last updated
07/01/2021
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