IndividualActive
John Braddock, M.D.
NPI 1225176324 · Preventive Medicine/Occupational Environmental Medicine Physician · Lake Oswego, OR
Provider details
- NPI number
- 1225176324
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD09593 (OR)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense MD09593 (OR)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4000 Kruse Way Pl
Building 2, Suite 160
Lake Oswego, OR 97035-5545
Phone: (503) 635-1960
Fax: (503) 635-8354
Street-level locationGet directions
Mailing address
4000 Kruse Way Pl
Lake Oswego, OR 97035-5545
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2011-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.