Bradeen, Resa L
Bradeen, Resa L is an individual health care provider with primary practice located at 9300 Se 91St Ave Ste 200 , Happy Valley OR 97086-3762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bradeen, Resa L can be contacted via phone (503) 261-1171.Contact Information
Primary practice address
9300 Se 91St Ave Ste 200
Happy Valley OR 97086-3762
Phone: (503) 261-1171
Fax: (503) 253-5989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD17410 | Oregon |
Profile Details
| NPI number | 1023010410 |
|---|---|
| LBN Legal business name | Bradeen, Resa L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | May 10th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023010410 | NPPES |
| Oregon | MEDICAID | 059886 |
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