Individual
BRADLEY PHILIP CAPRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., LMT.
Contact information
Practice address
2270 NE MCDANIEL LN, MCMINNVILLE, OR 97128-3247
(503) 843-3763
Mailing address
20950 SW VINEYARD LN, MCMINNVILLE, OR 97128-8533
(503) 843-3763
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01164
OR
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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