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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK BRADLEY

Active

MARK BRADLEY is a Endocrinology, Diabetes & Metabolism healthcare provider located in ROSEBURG, Oregon. NPI 1427162635 is currently active in the NPPES registry. Verify at CMS.

Endocrinology, Diabetes & Metabolism · ROSEBURG, OR

Registration Details

NPI Number
1427162635
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2006 (20.023543138182 yrs)
Last Updated
Jul 14, 2023
License
G065181 (CA)

Practice Information

Address
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR, 974706523
Browse OR providers · Browse ZIP 97470
Phone
5414401000
Primary Specialty
Endocrinology, Diabetes & Metabolism
207RE0101X

Other Endocrinology, Diabetes & Metabolism Providers in ROSEBURG, OR

Name Credential NPI
PATRICK W CLYDE MD 1538254941
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.