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Tyler Bradstreet
NPI 1699126532 · on the registry since 2016
Practice
- Address
- 23479 Se Stark St
Ste. 102
Gresham, OR 97030 - Phone
- (503) 667-1184
- Organisation at this address
- Rinnovare Laser And Wellness
Aspire Chiropractic & Massage Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-13
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