Individual
AMANDA NIRAH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST TIGARD, TIGARD, OR 97223
(503) 726-3740
Mailing address
8915 SW CENTER ST TIGARD, TIGARD, OR 97223
(503) 726-3740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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