Individual
RESA L BRADEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 SE 91ST AVE STE 200, HAPPY VALLEY, OR 97086-3762
(503) 261-1171
(503) 253-5989
Mailing address
200 SW MARKET ST STE 1650, PORTLAND, OR 97201-5715
(503) 601-3455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD17410
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059886
—
OR
Enumeration date
08/15/2005
Last updated
09/20/2024
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