Individual
BRADLEY JAMES PETEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272368
MA
207R00000X
Internal Medicine Physician
MD214252
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD214252
OR
Other
Enumeration date
06/19/2017
Last updated
08/14/2023
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