Individual
DR. BRADLEY E. SIEVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16016 BOONES FERRY RD, STE.100, LAKE OSWEGO, OR 97035-4357
(503) 636-4576
(503) 697-5069
Mailing address
16016 BOONES FERRY RD, STE.100, LAKE OSWEGO, OR 97035-4357
(503) 636-4576
(503) 697-5069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7780
OR
Other
Enumeration date
02/01/2007
Last updated
01/19/2016
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