Unknown Individual – Psychiatry Physician, NPI 1043307812
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Bradley Ibach - Prudential Financial, 6950, Southwest Hampton Street, Tigard Triangle, Tigard, Metro, Washington County, Oregon, 97223, United States
SUITE 222
TIGARD, OR 97223
Phone: (503) 430-7948
Fax: (503) 620-8119
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97223)
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