NPI 1225176324

John Rodgers Braddock, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Lake Oswego, OR

Practice location

Address: 4000 Kruse Way Pl Building 2, Suite 160, Lake Oswego, OR 97035-5545
Phone: (503) 635-1960
Fax: (503) 635-8354

Registered specialties (2)

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence MD09593 (OR)

Other Preventive Medicine providers in Oregon →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD09593 (OR)

Other Emergency Medicine providers in Oregon →

Registry record

NPI: 1225176324
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2007
Record last updated: 15 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.