Organization
BRADLEY E SIEVERT DMD PC
Active
Other names
WESTLAKE FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY E SIEVERT DMD (OWNER/DENTIST)
(503) 636-4576
Entity
Organization
Contact information
Practice address
16016 BOONES FERRY RD, SUITE 100, LAKE OSWEGO, OR 97035-4357
(503) 636-4576
(503) 697-5069
Mailing address
16016 BOONES FERRY RD, SUITE 100, LAKE OSWEGO, OR 97035-4357
(503) 636-4576
(503) 697-5069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D7780
OR
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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