Most Relevant Information
Provider Data
| NPI Number: | 1003683632 |
| Provider Name: | KAT V BRADY LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC218106 |
Most Important Dates
| Enumeration Date: | 12/04/2023 |
| Last Updated: | 12/04/2023 |
Provider Practice Location
3231 SE 50TH AVE
PORTLAND
OR
972062248
Practice Location Phone/Fax
| Phone: | 5032385203 |
| Fax: |
Provider Mailing Location
4720 SE 37TH AVE
PORTLAND
OR
972024004
Provider Mailing Phone/Fax
| Phone: | 3155584577 |
| Fax: |