Individual
CHRISTOPHER BRADY HALLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2727 GATEWAY ST, #35, SPRINGFIELD, OR 97477-1194
(541) 606-9044
Mailing address
2727 GATEWAY ST, #35, SPRINGFIELD, OR 97477-1194
(541) 606-9044
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
092005012LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092005012LPN
LPN
OR
Enumeration date
08/21/2013
Last updated
08/21/2013
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