Individual
JEAN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 779-5366
Mailing address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 779-5366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12202
OR
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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