Individual
DR. JEFFREY LEVITT BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
10060 E BURNSIDE ST, PORTLAND, OR 97216-2334
(503) 228-4988
(503) 228-6245
Mailing address
10060 E BURNSIDE ST, PORTLAND, OR 97216-2334
(503) 228-4988
(503) 228-6245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20323
CA
1223G0001X
General Practice Dentistry
Primary
D4311
OR
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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