Individual
BRADLEY THOMAS MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 248-1812
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 248-1812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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