KACY LEE BRADSHAW

SALEM, OR
NPI1972816593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: OR  201050101NP)
Enumeration Date2010-07-24
Last Update Date2010-07-24
Business Address
Mrs. KACY LEE BRADSHAW NNP
939 OAK ST SE
SALEM, OR 97301-3901
Phone number: 503-814-3561
Mailing Address
Mrs. KACY LEE BRADSHAW NNP
PO BOX 14001
SALEM, OR 97309-5014
Phone number: 503-561-2490