Bradley, Kimberly L.
Bradley, Kimberly L. is an sole proprietor health care provider with primary practice located at 1340 Sw Bertha Blvd Ste 103 , Portland OR 97219-2096. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bradley, Kimberly L. can be contacted via phone (888) 984-7277.Contact Information
Primary practice address
1340 Sw Bertha Blvd Ste 103
Portland OR 97219-2096
Phone: (888) 984-7277
Fax: (833) 989-2307
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 201807766NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95010714 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201807766NP | Oregon |
Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 201807766NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | 95010714 | California |
Profile Details
NPI number | 1265939185 |
---|---|
LBN Legal business name | Bradley, Kimberly L. |
Credentials | APRN, FNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 8th, 2018 |
Last updated | Dec 30th, 2023 - about last year |
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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