# DR. BRADLEY DEKORTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699185256
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO181937 | OR | — |
| 207Q00000X | Family Medicine Physician | OL60476473 | WA | — |
| 207Q00000X | Family Medicine Physician | OP60576320 | WA | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | DO181937 | OR | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2035866 | — | WA |