Individual
BRADLEY PAUL STUDEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
320 SW RAMSEY AVE, GRANTS PASS, OR 97527-5529
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200541613RN
OR
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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