Bradshaw, Richard Brian

Bradshaw, Richard Brian is an individual health care provider with primary practice located at 4411 Brown Ridge Ter , Medford OR 97504-9139. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Bradshaw, Richard Brian can be contacted via phone (541) 200-6747.

Contact Information

Primary practice address
4411 Brown Ridge Ter Medford OR 97504-9139
Phone: (541) 200-6747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10022 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1619231669
LBN Legal business name Bradshaw, Richard Brian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2012
Last updated Sep 11th, 2024 - 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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