Individual
TAYLOR ANN BRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1100 SOUTHGATE STE 5, PENDLETON, OR 97801
(541) 203-3159
Mailing address
720 NW 12TH ST, PENDLETON, OR 97801-1230
(541) 310-1728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4737
OR
Other
Enumeration date
05/13/2024
Last updated
06/20/2024
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