Individual
MR. GEORGE ALEXANDER BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
605 SE 39TH AVE, PORTLAND, OR 97214-3216
(503) 231-7480
Mailing address
1616 SE 58TH AVE, PORTLAND, OR 97215-3415
(503) 233-3077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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