Individual
NICHOLAS BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1307 NE 102ND AVE STE T-1, PORTLAND, OR 97220-3980
(971) 270-0913
(971) 270-0914
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65796
OR
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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