NPI Index

JOHN BRADDOCK, M.D.

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

Active Individual
NPI: 1225176324

Practice Address

4000 KRUSE WAY PL
BUILDING 2, SUITE 160
Lake Oswego, OR 97035

Phone: (503) 635-1960

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No MD09593 (OR)
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine 2083P0500X Yes MD09593 (OR)

Frequently Asked Questions

NPI 1225176324 is the National Provider Identifier for JOHN BRADDOCK, M.D., a Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine provider located in Lake Oswego, OR. This NPI was enumerated on February 1, 2007.
JOHN BRADDOCK, M.D. practices at 4000 KRUSE WAY PL, BUILDING 2, SUITE 160, Lake Oswego, OR 97035.

Quick Facts

NPI
1225176324
Type
Individual
Enumerated
Feb 1, 2007
Last Updated
Nov 15, 2011

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