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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIANA NICOLE KETTERER REVOAL, MD

Active

BRIANA NICOLE KETTERER REVOAL, MD is a Hematology healthcare provider located in PORTLAND, Oregon. NPI 1841617164 is currently active in the NPPES registry. Verify at CMS.

Hematology · PORTLAND, OR

Registration Details

NPI Number
1841617164
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2014 (12.395832432275 yrs)
Last Updated
Jun 22, 2020
Licenses
MD467138 (PA)
MD467138 (PA)
MD177704 (OR)

Practice Information

Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR, 972393011
Browse OR providers · Browse ZIP 97239
Phone
5034948311
Primary Specialty
Hematology
207RH0002X
Additional Specialty
Hematology
Additional Specialty
Hematology

Other Hematology Providers in PORTLAND, OR

Name Credential NPI
DR. ANGELA KALISIAK M.D. 1386647147
FRANCES A DEROOK M.D. 1922098060
DR. MARIA G MARTINEZ M.D. 1558335810
DR. CONSTANCE ROSSON MD 1922067487
JUAN C IREGUI MD 1336191618
MICHAEL A VALBUENA MD 1871536276
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.