Bradley, Angela M

Bradley, Angela M is an individual health care provider with primary practice located at 1162 Willamette St , Eugene OR 97401-3568. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bradley, Angela M can be contacted via phone (541) 687-6010.

Contact Information

Primary practice address
1162 Willamette St Eugene OR 97401-3568
Phone: (541) 687-6010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200450063NP Oregon

Profile Details

NPI number 1588633523
LBN Legal business name Bradley, Angela M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 10th, 2011 - about 13 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588633523 NPPES
Oregon MEDICAID 277801

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