IndividualActive
Brian Mahon, MD
NPI 1104998962 · Diagnostic Radiology Physician · Tualatin, OR
Provider details
- NPI number
- 1104998962
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD19953 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
19300 Sw 65th
Legacy Meridian Park Hospital
Tualatin, OR 97062-8854
Phone: (503) 692-5737
Fax: (503) 692-5307
Approximate (ZIP-level) locationGet directions
Mailing address
6464 Sw Borland Road
Tualatin, OR 97062-8854
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.