Ackerson, Bradley
Ackerson, Bradley is an individual health care provider with primary practice located at 9205 Sw Barnes Rd Lowr Level , Portland OR 97225-6603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ackerson, Bradley can be contacted via phone (503) 216-2195.Contact Information
Primary practice address
9205 Sw Barnes Rd Lowr Level
Portland OR 97225-6603
Phone: (503) 216-2195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD214786 | Oregon |
Profile Details
| NPI number | 1447746326 |
|---|---|
| LBN Legal business name | Ackerson, Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2018 |
| Last updated | Dec 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447746326 | NPPES |
| Oregon | MEDICAID | 500822367 |
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