DR. RAYMOND E BRADY MD

Allergy and Immunology

Astoria, Oregon

Provider NPI: 1912975574

Provider Information:
DR. RAYMOND E BRADY MD


Practice Location:
2055 EXCHANGE ST. SUITE 150 ASTORIA, OR 97103 US
Tel: 503-325-7546  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	WA	MD00017613
N	207K00000X	Physicians Allergy & Immunology	OR	MD10611

Other Provider Identifiers:

Issuer	Number	State	Type
WASHINGTON LICENSE	MD00017613	WA	01
OREGON LICENSE	MD10611	OR	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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