Probst, Bradley E

Probst, Bradley E is an individual health care provider with primary practice located at 335 Se 8Th Ave , Hillsboro OR 97123-4246. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Probst, Bradley E can be contacted via phone (503) 681-1176.

Contact Information

Primary practice address
335 Se 8Th Ave Hillsboro OR 97123-4246
Phone: (503) 681-1176
Fax: (503) 681-1606
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1487666111
LBN Legal business name Probst, Bradley E
Credentials MN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 7th, 2008 - about 16 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 1487666111 NPPES
Other F0606263 AANP CERTIFICATION NP-C

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