Wadley, Brian D

Wadley, Brian D is an individual health care provider with primary practice located at 233 Ne 102Nd Ave , Portland OR 97220-4106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wadley, Brian D can be contacted via phone (503) 535-8325.

Contact Information

Primary practice address
233 Ne 102Nd Ave Portland OR 97220-4106
Phone: (503) 535-8325
Fax: (503) 535-8399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 31752 Arizona

Profile Details

NPI number 1124076732
LBN Legal business name Wadley, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 26th, 2015 - about 10 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 1124076732 NPPES
Arizona Other 1Z7050 HEALTH NET
Arizona MEDICAID 792409 HEALTH NET
Arizona Other AZ0738560 HEALTH NET

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