Dr. Paul E Vanbredavriesman
Family Doctor - Adult Medicine
18000 Se Stark Street
Gresham
, Oregon 97233
Dr. Paul E Vanbredavriesman
Family Doctor - Adult Medicine
18000 Se Stark Street
Gresham
, Oregon 97233
(503) 255-4243
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Paul E Vanbredavriesman
- 16244 Ne San Rafael Dr 18000 Se Stark Street
- Portland, OR
- Zip : 97230-5661
- Fax : (503) 255-4243
- Phone : (503) 255-4243
Second Address
- Dr. Paul E Vanbredavriesman
- 18000 Se Stark Street
- Gresham, OR
- Zip : 97233
- Fax : (503) 255-4243
- Phone : (503) 255-4243
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | MD11073 | OR |
National Provider Identifier
| NPI | 1043453582 |
|---|---|
| Provider Name | Dr. Paul E Vanbredavriesman |
| First Address | Portland, OR 97230-5661 |
| Second Address | Gresham, OR 97233 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2009 |
| Last Update Date | 14/04/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.