Individual provider · Type 1 NPI
Bryon Willson, LMT
Other Specialist/Technologist · Beaverton, OR
NPI number
1285091009
Active
Practice location
3350 SW 198th Ave
Beaverton, OR 97003-2348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 6631 (OR) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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About NPI 1285091009
Bryon Willson, LMT's National Provider Identifier is 1285091009, issued on Jan 25, 2016. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Beaverton, OR. The record was last updated on Jan 25, 2016.