Bradshaw, Lewis S

Bradshaw, Lewis S is an individual health care provider with primary practice located at 1360 Jodi Dr , Silverton OR 97381-8734. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bradshaw, Lewis S can be contacted via phone (949) 351-1816.

Contact Information

Primary practice address
1360 Jodi Dr Silverton OR 97381-8734
Phone: (949) 351-1816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA215141 Oregon

Profile Details

NPI number 1346852951
LBN Legal business name Bradshaw, Lewis S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2020
Last updated Jun 29th, 2023 - about 2 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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