| Doctor Name: | BRYAN SALEEBA |
| NPI Number: | 1083035885 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 201394073NP-PP |
| Business Practice Address: | 24900 Se Stark St Gresham, OR - 970303355 |
| Business Phone Number: | 5036651010 |
| Business Fax Number: | |
| Mailing Address: | 24900 Se Stark St, GRESHAM |
| State: | OR |
| Postal Code: | 970303355 |
| Phone Number: | 5036651010 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2013 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 201394073NP-PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |