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Individual

BRAD SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3786 SW HALL BLVD, SUITE160, BEAVERTON, OR 97005-2050
(503) 626-6587
(971) 231-2097
Mailing address
3786 SW HALL BLVD, BEAVERTON, OR 97005-2050
(503) 626-6587

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5797
OR
225100000X
Physical Therapist
PT00009936
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8440729
WA
Enumeration date
06/13/2006
Last updated
03/23/2023
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