Bradley Howard Allen

Individual provider Active NPI Certified Respiratory Therapist · Clackamas, OR

NPI 1629267299 · NPPES record last updated Oct 19, 2007

Key facts

NPI
1629267299
Entity type
Individual (NPI type 1)
Primary specialty
Certified Respiratory Therapist 227800000X
License
RT-P-001067 (OR)
Practice address
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone
(503) 652-2880
NPI assigned
Oct 19, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RT-P-001067ORMDCertified Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X RT-P-001067 OR Yes

Addresses

Primary practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

9825 SE Overlook LN
Happy Valley, OR 97086-6972
Phone (503) 771-2784

Other providers in Clackamas, OR

All providers in Clackamas, OR · Certified Respiratory Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.