Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Park

Individual provider Diagnostic Radiology Physician · NPI 1376961896

Brian Park is an Interventional Radiology in Portland, Oregon. Graduated from New York University School of Medicine in 2014, 12 years ago. Practices with University Professional Services, a 1,704-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska, Oregon, Pennsylvania and Washington.

Years since qualifying
12
Trained at
New York University School of Medicine
Licensed in
AK, OR, PA, WA
In the registry since
2014
Specialties on file
5
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7660
Fax: (503) 494-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD198267 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MT208253 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD61228625 (WA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 213551 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376961896
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESNovember 24, 2023
Certification dateNovember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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