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1073537700
FREDRICK R BRADSHAW
GRESHAM, OR
NPI
1073537700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR DO10634)
Enumeration Date
2006-07-26
Last Update Date
2024-11-17
Business Address
-- FREDRICK R BRADSHAW DO
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone number: 503-674-1400
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Mailing Address
-- FREDRICK R BRADSHAW DO
6312 SW CAPITOL HWY # 502
PORTLAND, OR 97239-1938
Phone number: 503-464-9034
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