Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL E VANBREDAVRIESMAN, M.D.
ActiveDR. PAUL E VANBREDAVRIESMAN, M.D. is a Adolescent Medicine healthcare provider located in GRESHAM, Oregon. NPI 1043453582 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · GRESHAM, OR
Registration Details
- NPI Number
- 1043453582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2009 (17.294443552237 yrs)
- Last Updated
- Apr 14, 2009
- License
-
MD11073 (OR)
Practice Information
- Address
-
18000 SE STARK STREETGRESHAM, OR, 97233Browse OR providers · Browse ZIP 97233
- Phone
- 5032554243
- Fax
- 5032554243
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| NHAT QUANG LE | FNP-BC | 1457937880 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.