BRADLEY IAN MCMICHAEL

KEIZER, OR
NPI1043766116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  08866)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- BRADLEY IAN MCMICHAEL
4062 ARLETA AVE NE
KEIZER, OR 97303-4758
Phone number: 503-390-2271
Mailing Address
-- BRADLEY IAN MCMICHAEL
1026 HIDDEN CREEK DR NE APT. 201
KEIZER, OR 97303-7915
Phone number: 541-603-1821