Individual
DR. BRADLEY MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,PHD
Contact information
Practice address
11525 SW DURHAM RD, STE. D-6, TIGARD, OR 97224-3475
(503) 620-2807
(503) 968-5419
Mailing address
11525 SW DURHAM RD, STE. D-6, TIGARD, OR 97224-3475
(503) 620-2807
(503) 968-5419
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D6900
OR
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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