Individual
DR. BRADLEY T BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, 1ST FLOOR, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD19273
OR
208M00000X
Hospitalist Physician
Primary
MD19273
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071969
—
OR
Enumeration date
12/04/2006
Last updated
03/30/2017
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