Individual provider · Type 1 NPI

Michael Johnson Brask, PA-C

Medical Physician Assistant · Newberg, OR

NPI number 1497143077 Active

Practice location

1001 N Providence Dr
Newberg, OR 97132-7485

Mailing address

2216 Arbor Dr
West Linn, OR 97068-1204

Other practice locations

  • 464 Congress Ave Ste 266, New Haven, CT 06519-1366 · (203) 737-3622

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA182326 (OR)

Medical Physician Assistant: Definition to come...

21 other providers at this address

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About NPI 1497143077

Michael Johnson Brask, PA-C's National Provider Identifier is 1497143077, issued on Jan 5, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newberg, OR. The record was last updated on Apr 29, 2020.