Individual
DR. BRADLLEY ALLAN BRAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
354 W ADAMS, SISTERS, OR 97759
(541) 549-0973
(541) 543-9542
Mailing address
PO BOX 901, SISTERS, OR 97759-0901
(541) 549-0973
(541) 549-9542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8477
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8477
STATE LICENSE NUMBER
OR
Enumeration date
11/10/2005
Last updated
07/08/2007
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