BRADLEY A TATE

VANCOUVER, WA
NPI1225147218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: OR  CERTEFIED)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- BRADLEY A TATE
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3084
Mailing Address
-- BRADLEY A TATE
15311 SE BYBEE DR
PORTLAND, OR 97236-7858
Phone number: 503-621-6889
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