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Individual

BRADLEY ACKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9205 SW BARNES RD LOWR LEVEL, PORTLAND, OR 97225-6603
(503) 216-2195
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD214786
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500822367
OR
Enumeration date
07/03/2018
Last updated
12/05/2023
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