Individual
MR. BRADLEY ROBERT HANDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7515 SW GARDEN HOME RD, PORTLAND, OR 97223-7428
(503) 246-3761
(503) 244-7988
Mailing address
7515 SW GARDEN HOME RD, PORTLAND, OR 97223-7428
(503) 246-3761
(503) 244-7988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07414
OR
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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