Individual provider · Type 1 NPI

Brian Park

Vascular & Interventional Radiology Physician · Portland, OR

NPI number 1376961896 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 494-4258

Mailing address

3181 SW Sam Jackson Park Rd., SJH-2
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMT208253 (PA)
Vascular & Interventional Radiology Physician 2085R0204XMD61228625 (WA)
Vascular & Interventional Radiology Physician 2085R0204X213551 (AK)
Vascular & Interventional Radiology Physician Primary 2085R0204XMD198267 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1376961896

Brian Park's National Provider Identifier is 1376961896, issued on Apr 1, 2014. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Portland, OR. The record was last updated on Nov 24, 2023.