IndividualActive
Brandon Gisi
NPI 1508363003 · Diagnostic Radiology Physician · Clackamas, OR
Provider details
- NPI number
- 1508363003
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD219224 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 813-2000
Approximate (ZIP-level) locationGet directions
Mailing address
500 Ne Multnomah St Fl 11
Portland, OR 97232-2023
Registry dates
- Enumerated
- 2018-04-11
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.