Individual
DR. WILLIAM BRADFORD BRONEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10803 SE CHERRY BLOSSOM DRIVE, PORTLAND, OR 97216-3107
(503) 261-7200
(503) 261-7249
Mailing address
10803 SE CHERRY BLOSSOM DRIVE, PORTLAND, OR 97216-3107
(503) 261-7200
(503) 261-7249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60393362
WA
207Q00000X
Family Medicine Physician
MD180593
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500719554
—
OR
01
—
MD180593
OREGON MEDICAL BOARD LICENSE
OR
Enumeration date
04/08/2011
Last updated
09/28/2021
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