Individual
KERRY L BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1500 W 12TH AVE, EUGENE, OR 97402-3705
(541) 346-2578
Mailing address
1500 W 12TH AVE, EUGENE, OR 97402-3705
(541) 346-2578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015328
OR
235Z00000X
Speech-Language Pathologist
14066613
OR
Other
Enumeration date
07/30/2014
Last updated
03/20/2024
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