Charles, Bryhanna Christine

Charles, Bryhanna Christine is an individual health care provider with primary practice located at 1111 Ne 99Th Ave Ste 101 , Portland OR 97220-9442. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Charles, Bryhanna Christine can be contacted via phone (503) 488-2626.

Contact Information

Primary practice address
1111 Ne 99Th Ave Ste 101 Portland OR 97220-9442
Phone: (503) 488-2626
Fax: (503) 488-2630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085008846 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA209821 Oregon

Profile Details

NPI number 1154919561
LBN Legal business name Charles, Bryhanna Christine
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2021
Last updated Jul 11th, 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 1154919561 NPPES
Oregon MEDICAID 500807348
Oregon MEDICAID 2209836

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