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1487666111
BRADLEY E PROBST
HILLSBORO, OR
NPI
1487666111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200650109NP)
Enumeration Date
2006-08-12
Last Update Date
2008-03-07
Business Address
-- BRADLEY E PROBST MN FNP
335 SE 8TH AVE
HILLSBORO, OR 97123-4246
Phone number: 503-681-1176
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Mailing Address
-- BRADLEY E PROBST MN FNP
505 S 336TH ST SUITE 600
FEDERAL WAY, WA 98003-6328
Phone number: 253-838-6180
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