Individual
DR. BRADLEY F. MARINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12755 SW 2ND ST, BEAVERTON, OR 97005-2767
(503) 641-5303
(503) 646-4193
Mailing address
12755 SW 2ND ST, BEAVERTON, OR 97005-2767
(503) 641-5303
(503) 646-4193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6567
OR
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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