BRADLEY E SIEVERT DMD PC NPI 1407210578

NPI Information

  • NPI: 1407210578
  • Provider Name: BRADLEY E SIEVERT DMD PC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: WESTLAKE FAMILY DENTISTRY
  • Address: 16016 BOONES FERRY RD
    SUITE 100
    LAKE OSWEGO, OR
    ZIP 97035
  • Phone: (503) 636-4576

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NPI Details

BRADLEY E SIEVERT DMD PC is a durable medical equipment medical supplies in Lake Oswego, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BRADLEY E SIEVERT DMD PC NPI is 1407210578. The provider is registered as an organization entity type.
The provider Is Doing Business As Westlake Family Dentistry.

The provider's business location address is:

16016 BOONES FERRY RD
SUITE 100
LAKE OSWEGO, OR
ZIP 97035-357
Phone: (503) 636-4576
Fax: (503) 697-5069

The provider's authorized official is Bradley E Sievert .
The authorized official title is Owner/dentist and has the following contact phone number (503) 636-4576.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesD7780OREGONYes

What is NPI?

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This page was last updated on: 11/21/2025

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