Individual
BRADLEY LOUIS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDCS
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(206) 474-8474
Mailing address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
126846
WA
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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