Individual
RYAN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
6348 NE HALSEY ST STE A, PORTLAND, OR 97213-4720
(503) 962-1700
(503) 215-8455
Mailing address
6348 NE HALSEY ST STE A, PORTLAND, OR 97213-4720
(503) 962-1700
(503) 215-8455
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
12237
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
12237
OR
Other
Enumeration date
03/01/2012
Last updated
06/07/2019
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