BRADLEY JON KOUNTZ SPEER

NEWBERG, OR
NPI1801376595
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: OR  3874)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
BRADLEY JON KOUNTZ SPEER MSPT
1001 PROVIDENCE DR
NEWBERG, OR 97132-7485
Phone number: 503-537-5791
Mailing Address
BRADLEY JON KOUNTZ SPEER MSPT
1001 PROVIDENCE DR
NEWBERG, OR 97132-7485
Phone number: 503-537-5791