Dr. James Edward Bryan, Ph.D.
Clinical Neuropsychologist in Portland, OR. Individual provider (NPI-1).
NPI number1144260738
StatusActive
Last updated in NPPESMar 29, 2022
Details
- NPI
- 1144260738
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Edward Bryan
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2006
- Certification date
- Mar 29, 2022
- Last updated
- Mar 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 991 | OR | Yes |
Practice location
12600 Se Stark StPortland, OR 97233-1058
Phone 503-284-8558 · Fax 503-335-1448
Mailing address
12600 Se Stark StPortland, OR 97233-1058
Phone 503-284-8558 · Fax 503-335-1448
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