Healthcare Provider Details

I. General information

NPI: 1760386932
Provider Name (Legal Business Name): BRAD ALEXANDER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 SW RIMROCK WAY STE 103
REDMOND OR
97756-2565
US

IV. Provider business mailing address

875 SW RIMROCK WAY STE 103
REDMOND OR
97756-2565
US

V. Phone/Fax

Practice location:
  • Phone: 541-316-6010
  • Fax: 541-203-7951
Mailing address:
  • Phone: 541-316-6010
  • Fax: 541-203-7951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6537
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: