Search › Oregon › 101YM0800X
Bradford League
NPI 1851759641 · on the registry since 2016
Practice
- Address
- 17640 Ne Halsey St
Portland, OR 97230 - Phone
- (503) 489-5045
- Fax
- (503) 489-5638
- Organisation at this address
- Columbiacare Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-08
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