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Dr. Paul E Vanbredavriesman, MD
Adult Medicine Physician in Gresham, Oregon
NPI 1043453582

Paul E Vanbredavriesman is an Adult Medicine Physician based in Portland, OR and is specialized in Adult Medicine. Paul E Vanbredavriesman practices in Gresham, OR and has the professional credentials of MD. The NPI Number for Paul E Vanbredavriesman is 1043453582 and holds a License No. MD11073 (Oregon).

The current practice location address for Paul E Vanbredavriesman is 18000 Se Stark Street, Gresham, OR and can be reached out via phone at 503-255-4243 and via fax at 503-255-4243.

Location: 18000 Se Stark Street, Gresham, OR, 97230-5661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043453582
Provider Name
Paul E Vanbredavriesman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18000 Se Stark Street, Gresham, OR, 97230-5661
Phone Number
503-255-4243
Fax Number
503-255-4243
Provider Enumeration Date
04/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18000 Se Stark Street
City
Gresham
State
Oregon
Zip
97233
Phone Number
503-255-4243
Fax Number
503-255-4243
person
Provider Business Mailing Address Details
Address
18000 Se Stark Street
City
Gresham
State
Oregon
Zip
97233
Phone Number
503-255-4243
Fax Number
503-255-4243
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
MD11073 (Oregon)
Definition
Definition to come.
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