SearchOregon183500000X

Bryson Kamisato

NPI 1598133175 · on the registry since 2015 · sole proprietor

Practice

Address
16300 Se Evelyn St
Clackamas, OR 97015
Phone
(503) 656-1461
Organisation at this address
Safeway
Safeway Pharmacy
Safeway Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-12

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