Individual
DR. KIERST LEIGH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 HILYARD ST, SUITE 440, EUGENE, OR 97401-8122
(458) 205-6061
(541) 687-6067
Mailing address
1200 HILYARD ST, SUITE 440, EUGENE, OR 97401-8122
(458) 205-6061
(541) 687-6067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD162811
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500659137
—
OR
Enumeration date
04/06/2010
Last updated
07/19/2013
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