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General NPI Number Information
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NPI Number | 1295601482
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Entity Type | Individual
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Provider Name | BRADLEY D BALL DC
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Gender | Male
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 30789 SW BOONES FERRY RD
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City | WILSONVILLE
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State | OR
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Zip | 97070-7842
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Country | US
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Telephone | 503-682-6778
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Fax |
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Provider Business Mailing Address
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Address Line | 16421 INVERURIE RD
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-4117
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Country | US
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Telephone | 971-381-2058
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6472
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License Number State | OR
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