Individual
DR. BROOKS BRADLEY HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 SE 133RD AVE, PORTLAND, OR 97233-1809
(503) 255-7188
Mailing address
405 SE 133RD AVE, PORTLAND, OR 97233-1809
(503) 255-7188
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
9471
WA
1223E0200X
Endodontics
Primary
D9544
OR
Other
Enumeration date
01/27/2006
Last updated
01/06/2011
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