Search › Oregon › 363L00000X
Brent Fivecoat
NPI 1578927414 · on the registry since 2016
Practice
- Address
- 8935 Se Powell Blvd
Portland, OR 97266 - Phone
- (503) 772-4335
- Fax
- (503) 772-4337
- Organisation at this address
- Mental Health Association Of Oregon
Pathology Associates Medical Laboratories, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
363L00000X
363L00000X
363L00000X
363LF0000X - Licence states on file
- OK, OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon