Bradley Ian Mcmichael

NPI #1043766116 in Keizer, Oregon

Provider Information

NPI Number: 1043766116
Entity Type: Individual
Name: Bradley Ian Mcmichael
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 29, 2016
Last Updated: Aug 29, 2016

Practice Location

Address: 4062 ARLETA AVE NE
City: Keizer
State: Oregon
ZIP Code: 97303-4758
Phone: (503) 390-2271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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