IndividualActive

Brian Park

NPI 1376961896 · Vascular & Interventional Radiology Physician · Portland, OR

Provider details

NPI number: 1376961896
Entity type: Individual
Primary specialty: Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No
License: MT208253 (PA)

Vascular & Interventional Radiology PhysicianPrimary2085R0204XLicense MD198267 (OR)
Allopathic & Osteopathic Physicians
Diagnostic Radiology Physician2085R0202XLicense MT208253 (PA)
Allopathic & Osteopathic Physicians
Vascular & Interventional Radiology Physician2085R0204XLicense MD61228625 (WA)
Allopathic & Osteopathic Physicians
Vascular & Interventional Radiology Physician2085R0204XLicense 213551 (AK)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Phone: (503) 494-7660

Fax: (503) 494-4258

Approximate (ZIP-level) locationGet directions

3181 Sw Sam Jackson Park Rd.

Portland, OR 97239-3011

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.