Individual
BRADFORD ALAN CLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7706 SE YAMHILL ST, PORTLAND, OR 97215-3064
(503) 568-2880
Mailing address
2365 NW MARSHALL ST, PORTLAND, OR 97210-2946
(503) 568-2880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11874
OR
Other
Enumeration date
01/09/2010
Last updated
01/11/2011
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