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Individual

BRYAN ANDRADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1915 NW AMBERGLEN PKWY, SUITE 400, BEAVERTON, OR 97006-6951
(503) 621-8055
Mailing address
140 NE 28TH AVE, HILLSBORO, OR 97124-6204
(503) 621-8055

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
14760
OR

Other

Enumeration date
02/26/2011
Last updated
01/08/2013
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