Individual
DR. RYAN MICHAEL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19129 BEAVERCREEK RD, OREGON CITY, OR 97045-9539
(503) 305-5051
Mailing address
11263 SW SPRINGWOOD DR, TIGARD, OR 97223-3320
(971) 998-3000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11091
OR
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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