Tyler Bradstreet

NPI #1699126532 in Gresham, Oregon

Provider Information

NPI Number
1699126532
Entity Type
Individual
Name
Tyler Bradstreet
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 22, 2016
Last Updated
Jan 13, 2021

Practice Location

Address
23479 SE STARK ST
Address 2
STE. 102
State
Oregon
ZIP Code
97030-2962
Phone
(503) 667-1184

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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