Individual
BRADLEY WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
345 N GRANT ST, CANBY, OR 97013-3610
(503) 266-2066
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA227388
OR
Other
Enumeration date
12/06/2024
Last updated
05/07/2026
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