Bradley Dean Ziegenbusch, RN
Registered Nurse in Portland, OR. Individual provider (NPI-1).
NPI number1659907186
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1659907186
- Entity type
- Individual (NPI-1)
- Name
- Bradley Dean Ziegenbusch
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2020
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 201702484RN | OR | Yes |
Practice location
3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964
Phone 503-220-8262
Mailing address
3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964
Phone 503-220-8262
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