Individual
BRADLEY LELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1195A CITY VIEW ST, EUGENE, OR 97402-3325
(541) 344-1121
Mailing address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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