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Juanita Bradley
NPI 1457894388 · on the registry since 2016
Practice
- Address
- 3311 Ne Martin Luther King Jr Blvd
Portland, OR 97212 - Phone
- (503) 676-7371
- Fax
- (503) 430-5403
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-26
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