Individual
DR. BRADLEY JOE ROEMELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(503) 361-5400
(503) 361-5401
Mailing address
3264 KWONESUM CT S, SALEM, OR 97306-9818
(503) 589-0193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17379
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02811-3
—
OR
Enumeration date
11/01/2006
Last updated
07/08/2007
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