Individual
DR. RANDALL V. BREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 NW SAMARITAN DR, SUITE E350, CORVALLIS, OR 97330-3737
(541) 768-5205
(541) 768-5206
Mailing address
3600 NW SAMARITAN DR, SUITE E350, CORVALLIS, OR 97330-3737
(541) 768-5205
(541) 768-5206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD22201
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD22201
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130343
—
OR
Enumeration date
06/05/2006
Last updated
07/02/2008
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