Cory Lea Bradley

NPI #1821764499 in Ontario, Oregon

Provider Information

NPI Number: 1821764499
Entity Type: Individual
Name: Cory Lea Bradley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 23, 2021
Last Updated: May 13, 2023

Practice Location

Address: 992 W IDAHO AVE
City: Ontario
State: Oregon
ZIP Code: 97914-2111
Phone: (208) 405-0020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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