Individual
BRADLEY EHRENFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 NW WALL STREET STE #100, OPTIONAL, BEND, OR 97703
(541) 389-4321
Mailing address
55 NW WALL STREET STE #100, OPTIONAL, BEND, OR 97703
(541) 389-4321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64223
OR
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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