Kendel Jordan Bratcher

NPI #1417333097 in Milwaukie, Oregon

Provider Information

NPI Number: 1417333097
Entity Type: Individual
Name: Kendel Jordan Bratcher
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 5, 2015
Last Updated: Aug 5, 2015

Practice Location

Address: 3716 SE INTERNATIONAL WAY
City: Milwaukie
State: Oregon
ZIP Code: 97222
Phone: (503) 659-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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