Individual
BRADLEY J BERGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 SE BASELINE ST STE F, HILLSBORO, OR 97123-4149
(503) 640-0493
(503) 648-7643
Mailing address
527 SE BASELINE ST STE F, HILLSBORO, OR 97123-4149
(503) 640-0493
(503) 648-7643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD13475
OR
207T00000X
Neurological Surgery Physician
Primary
MD13475
OR
Other
Enumeration date
06/12/2006
Last updated
12/20/2010
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