Individual
MRS. KIMBERLY L. BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1340 SW BERTHA BLVD STE 103, PORTLAND, OR 97219-2096
(888) 984-7277
(833) 989-2307
Mailing address
1340 SW BERTHA BLVD STE 103, PORTLAND, OR 97219-2096
(888) 984-7277
(833) 989-2307
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
201807766NP
OR
363LC1500X
Community Health Nurse Practitioner
95010714
CA
363LF0000X
Family Nurse Practitioner
Primary
201807766NP
OR
363LP2300X
Primary Care Nurse Practitioner
201807766NP
OR
363LP2300X
Primary Care Nurse Practitioner
95010714
CA
Other
Enumeration date
04/08/2018
Last updated
12/30/2023
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