Bradford, Laurel

Bradford, Laurel is an sole proprietor health care provider with primary practice located at 19260 Sw 65Th Ave Suite 340, Tualatin OR 97062-5701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bradford, Laurel can be contacted via phone (503) 691-9777.

Contact Information

Primary practice address
19260 Sw 65Th Ave Suite 340 Tualatin OR 97062-5701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD162128 Oregon

Profile Details

NPI number 1902127368
LBN Legal business name Bradford, Laurel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2010
Last updated Dec 4th, 2013 - about 12 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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