IndividualActive
Bradley Mcallister, DDS,PHD
NPI 1922387240 · Periodontics · Tigard, OR
Provider details
- NPI number
- 1922387240
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS,PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D6900 (OR)
Specialties & taxonomies
Dental Providers
Practice location
11525 Sw Durham Rd
Ste. D-6
Tigard, OR 97224-3475
Phone: (503) 620-2807
Fax: (503) 968-5419
Approximate (ZIP-level) locationGet directions
Mailing address
11525 Sw Durham Rd
Tigard, OR 97224-3475
Registry dates
- Enumerated
- 2011-08-04
- Last updated
- 2011-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.