Individual
MR. BRADLEY HOWARD ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
9825 SE OVERLOOK LN, HAPPY VALLEY, OR 97086-6972
(503) 771-2784
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RT-P-001067
OR
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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