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Individual
DR. BRADLEY DEKORTE
Active
Individual
DR. BRADLEY DEKORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO181937
OR
207Q00000X
Family Medicine Physician
OL60476473
WA
207Q00000X
Family Medicine Physician
OP60576320
WA
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
DO181937
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035866
—
WA
Enumeration date
05/05/2014
Last updated
05/17/2023
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