IndividualActive
Bradley Petek, MD
NPI 1558891705 · Cardiovascular Disease Physician · Portland, OR
Provider details
- NPI number
- 1558891705
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 272368 (MA)
Practice location
3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-1775
Fax: (503) 494-4749
Mailing address
3303 S Bond Ave
Portland, OR 97239-4501
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.