FREDRICK R BRADSHAW

GRESHAM, OR
NPI1073537700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OR  DO10634)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- FREDRICK R BRADSHAW DO
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone number: 503-674-1400
Mailing Address
-- FREDRICK R BRADSHAW DO
6312 SW CAPITOL HWY # 502
PORTLAND, OR 97239-1938
Phone number: 503-464-9034
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