Individual
BRADLEY JON KOUNTZ SPEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-5791
Mailing address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-5791
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3874
OR
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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