Individual provider · Type 1 NPI

Bryan R. Mendesdacosta

Technician · Portland, OR

NPI number 1992618318 Active

Practice location

4212 SE Division St Ste 100
Portland, OR 97206-1628

Call (503) 238-0705 Map

Fax (503) 236-7166

Mailing address

847 NE 19th Ave Ste 100
Portland, OR 97232-2684

Specialties and licenses

TaxonomyCodeLicense
Technician Primary 374700000X2533680 (OR)

Technician: (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, th…

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About NPI 1992618318

Bryan R. Mendesdacosta's National Provider Identifier is 1992618318, issued on Sep 25, 2026. The primary taxonomy on file is Technician (374700000X), and the practice location is in Portland, OR. The record was last updated on Sep 25, 2026.