Bryman, Marisa Rose

Bryman, Marisa Rose is an individual health care provider with primary practice located at 10101 Se Main St Ste 3001 , Portland OR 97216-2458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bryman, Marisa Rose can be contacted via phone (503) 261-4423.

Contact Information

Primary practice address
10101 Se Main St Ste 3001 Portland OR 97216-2458
Phone: (503) 261-4423
Fax: (503) 261-4424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201502090NP-PP Oregon

Profile Details

NPI number 1841639887
LBN Legal business name Bryman, Marisa Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Nov 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841639887 NPPES
Oregon MEDICAID 500686751
Oregon Other R182652

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