Black, Bradford T

Black, Bradford T is an individual health care provider with primary practice located at 1508 Division St Suite 105, Oregon City OR 97045-1582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Black, Bradford T can be contacted via phone (503) 656-0836.

Contact Information

Primary practice address
1508 Division St Suite 105 Oregon City OR 97045-1582
Phone: (503) 656-0836
Fax: (503) 656-9464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD23801 Oregon

Profile Details

NPI number 1710912951
LBN Legal business name Black, Bradford T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Apr 22nd, 2008 - about 18 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 1710912951 NPPES
Oregon MEDICAID 286571

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