IndividualActive
Paul Vanbredavriesman, M.D.
NPI 1043453582 · Adult Medicine Physician · Gresham, OR
Provider details
- NPI number
- 1043453582
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD11073 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18000 Se Stark Street
Gresham, OR 97233
Phone: (503) 255-4243
Fax: (503) 255-4243
Street-level locationGet directions
Mailing address
16244 Ne San Rafael Dr
Portland, OR 97230-5661
Registry dates
- Enumerated
- 2009-04-14
- Last updated
- 2009-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.