Individual
MR. BRAD BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PT
Contact information
Practice address
3705 COLUMBUS ST SE, ALBANY, OR 97322-6182
(541) 967-4522
Mailing address
1315 VINE ST SW, ALBANY, OR 97321-2545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2491
OR
2255A2300X
Athletic Trainer
AT-AT-183301
OR
Other
Enumeration date
03/16/2007
Last updated
09/11/2025
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