Individual
MS. ANGELA M BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1162 WILLAMETTE ST, EUGENE, OR 97401-3568
(541) 687-6010
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450063NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277801
—
OR
Enumeration date
03/14/2006
Last updated
01/10/2011
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