Individual
MR. CURTIS EVERETT BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
501 E 1ST ST, PORT ANGELES, WA 98362-3301
(360) 461-2293
Mailing address
671 DAN KELLY RD, PORT ANGELES, WA 98363-9683
(360) 461-2293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010257
WA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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