Individual
SUMMER BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
6018 SE STARK ST., SUITE 103, PORTLAND, OR 97215-1990
(503) 333-0473
Mailing address
5845 NE HOYT ST., #416, PORTLAND, OR 97213-3783
(503) 333-0473
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153566
OR
Other
Enumeration date
03/31/2011
Last updated
03/31/2016
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