Mortenson, Bradley S
Mortenson, Bradley S is an individual health care provider with primary practice located at 2074 S 6Th St , Klamath Falls OR 97601-3372. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mortenson, Bradley S can be contacted via phone (541) 880-2028.Contact Information
Primary practice address
2074 S 6Th St
Klamath Falls OR 97601-3372
Phone: (541) 880-2028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D9795 | Oregon |
Profile Details
| NPI number | 1780936518 |
|---|---|
| LBN Legal business name | Mortenson, Bradley S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2012 |
| Last updated | Oct 3rd, 2012 - about 12 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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