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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447746326 NPPES
Oregon MEDICAID 500822367

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