MEDICARE: BRIAN N. WERSTEIN

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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD197256	OR
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD61117339	WA

General Provider Information

NPI Number	:	1720449648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN N. WERSTEIN

Provider Business Mailing Address
First Line	:	500 NE MULTNOMAH ST STE 100
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2031
Country	:	US
Telephone Number	:	800-813-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	13705 NE AIRPORT WAY STE C
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97230-1048
Country	:	US
Telephone Number	:	800-813-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2016
Last Update Date	:	06/12/2026

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