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1184733859
BRADLEY J FANCHER
PORTLAND, OR
NPI
1184733859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD12802)
Enumeration Date
2006-08-29
Last Update Date
2014-10-13
Business Address
-- BRADLEY J FANCHER MD
10200 SW EASTRIDGE ST SUITE 205
PORTLAND, OR 97225-5064
Phone number: 503-280-4555
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Mailing Address
-- BRADLEY J FANCHER MD
10200 SW EASTRIDGE ST SUITE 205
PORTLAND, OR 97225-5032
Phone number: 503-280-4555
Copy
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