Bradley Robert Handick, DDS
Dentist in Portland, OR. Individual provider (NPI-1).
NPI number1881744043
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1881744043
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bradley Robert Handick
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 07414 | OR | Yes |
Practice location
7515 Sw Garden Home RdPortland, OR 97223-7428
Phone 503-246-3761 · Fax 503-244-7988
Mailing address
7515 Sw Garden Home RdPortland, OR 97223-7428
Phone 503-246-3761 · Fax 503-244-7988
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