MR. Michael Johnson Brask, PA-C

NPI #1497143077 in Newberg, Oregon

Provider Information

NPI Number
1497143077
Entity Type
Individual
Name
MR. Michael Johnson Brask, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jan 5, 2015
Last Updated
Apr 29, 2020

Practice Location

Address
1001 N PROVIDENCE DR
State
Oregon
ZIP Code
97132-7485
Phone
(503) 537-1785

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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