Mahon, Brian Robert

Mahon, Brian Robert is an individual health care provider with primary practice located at 19300 Sw 65Th Legacy Meridian Park Hospital, Tualatin OR 97062-8854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mahon, Brian Robert can be contacted via phone (503) 692-5737.

Contact Information

Primary practice address
19300 Sw 65Th Legacy Meridian Park Hospital Tualatin OR 97062-8854
Phone: (503) 692-5737
Fax: (503) 692-5307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD19953 Oregon

Profile Details

NPI number 1104998962
LBN Legal business name Mahon, Brian Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104998962 NPPES
Oregon MEDICAID 081294

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