Bradley George Smith, OD

NPI #1699769380 in Tigard, Oregon

Provider Information

NPI Number: 1699769380
Entity Type: Individual
Name: Bradley George Smith, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 8, 2005
Last Updated: May 17, 2010

Practice Location

Address: 9169 SW BURNHAM ST
City: Tigard
State: Oregon
ZIP Code: 97223-6105
Phone: (503) 539-5115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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