Individual
JAMES BRADLEY MUNSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10763 SW GREENBURG RD, TIGARD, OR 97223-5492
(503) 684-8159
Mailing address
10763 SW GREENBURG RD, TIGARD, OR 97223-5492
(503) 684-8159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202007175LPN
OR
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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