Individual
BRADLEY TAYLOR CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP-R
Contact information
Practice address
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756-2558
(541) 923-2654
Mailing address
1655 SW HIGHLAND AVE STE 4, REDMOND, OR 97756-2558
(541) 971-2297
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
02/24/2025
Last updated
07/22/2025
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