Dr BRADFORD T BLACK MD is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1994 from Tufts University School Of Medicine.
OREGON ORTHOPEDIC AND SPORTS MEDICINE CLINIC
1508 DIVISION ST
SUITE 105
OREGON CITY
OR
970451584
Tel: 5036560836
| Npi | 1710912951 |
| Pac Id | 9133010184 |
| Professional Enrollment Id | I20110427000645 |
| Last Name | BLACK |
| First Name | BRADFORD |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | ORTHOPEDIC SURGERY |
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| Organization Legal Name | OREGON ORTHOPEDIC AND SPORTS MEDICINE CLINIC |
| Group Practice Pac Id | 3678467255 |
| Number Of Group Practice Members | 13 |
| Line 1 Street Address | 1508 DIVISION ST |
| Line 2 Street Address | SUITE 105 |
| Marker Of Address Line 2 Suppression | |
| City | OREGON CITY |
| State | OR |
| Zip Code | 970451584 |
| Phone Number | 5036560836 |
| Hospital Affiliation Ccn 1 | 380038 |
| Hospital Affiliation Lbn 1 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380089 |
| Hospital Affiliation Lbn 2 | LEGACY MERIDIAN PARK MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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