Provider Demographics
NPI:1710694674
Name:MURAR, BRIANA STEPHANIE (PA)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:STEPHANIE
Last Name:MURAR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15100 SW IVY GLENN CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-5068
Mailing Address - Country:US
Mailing Address - Phone:503-737-5433
Mailing Address - Fax:
Practice Address - Street 1:2700 SE STRATUS AVE STE 405
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-6239
Practice Address - Country:US
Practice Address - Phone:971-287-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ORPA214722363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program