Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN RODGERS BRADDOCK, M.D.
ActiveJOHN RODGERS BRADDOCK, M.D. is a Preventive Medicine healthcare provider located in LAKE OSWEGO, Oregon. NPI 1225176324 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1225176324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2007 (19.541184592933 yrs)
- Last Updated
- Nov 15, 2011
- Licenses
-
MD09593 (OR)MD09593 (OR)
Practice Information
- Address
-
4000 KRUSE WAY PLBUILDING 2, SUITE 160LAKE OSWEGO, OR, 970355545Browse OR providers · Browse ZIP 97035
- Phone
- 5036351960
- Fax
- 5036358354
- Primary Specialty
-
Preventive Medicine
2083P0500X
- Additional Specialty
- Preventive Medicine
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.