Individual
DR. BRADLEY COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
511 SW 10TH AVE, SUITE 500, PORTLAND, OR 97205-2732
(503) 352-2500
(503) 352-2523
Mailing address
511 SW 10TH AVE, SUITE 500, PORTLAND, OR 97205-2732
(503) 352-2500
(503) 352-2523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1527T
OR
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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