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NPI Code Detail

MEDICARE: JAMES H. BRYAN MD, PHD

MEDICARE: JAMES H. BRYAN MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD18236OR

General Provider Information

NPI Number : 1083618524
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES H. BRYAN MD, PHD
Provider Business Mailing Address
First Line : 3710 SW US VETERANS HOSPITAL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-2964
Country : US
Telephone Number : 503-220-8262
Fax Number : 503-721-1051
Provider Business Practice Location Address
First Line : 3710 SW US VETERANS HOSPITAL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-2964
Country : US
Telephone Number : 503-220-8262
Fax Number : 503-721-1051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/13/2007

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