Individual
BRADLEY E PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MN FNP
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1176
(503) 681-1606
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0606263
AANP CERTIFICATION NP-C
—
Enumeration date
08/12/2006
Last updated
03/07/2008
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