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Individual

DR. JEFFREY BRATTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, BS

Contact information

Practice address
1155 NE HOGAN DR, GRESHAM, OR 97030-4129
(503) 667-3366
(503) 465-8486
Mailing address
1155 NE HOGAN DR, GRESHAM, OR 97030-4129
(503) 667-3366
(503) 465-8486

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272765
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
93-1083040
TAX ID #
OR
Enumeration date
12/08/2006
Last updated
07/08/2007
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