1. Home
  2. Directory
  3. Oregon
  4. Gresham
  5. Family Medicine
  6. NPI Profile

DR. PAUL E VANBREDAVRIESMAN M.D.
NPI 1043453582
Family Medicine - Adult Medicine in Gresham, OR

Active since April 14, 2009
18000 SE STARK STREET, GRESHAM, OR 97233(503) 255-4243(503) 255-4243 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul E Vanbredavriesman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL E VANBREDAVRIESMAN M.D. (NPI 1043453582) is an individual adult medicine provider in Gresham, Oregon, licensed in Oregon (MD11073) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1043453582
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. PAUL E VANBREDAVRIESMANCredential: M.D.
Location Address18000 SE STARK STREETGresham, OR 97233
Mailing Address16244 Ne San Rafael Dr, 18000 Se Stark StreetPortland, OR 97230-5661 · (503) 255-4243 · Fax (503) 255-4243
Phone(503) 255-4243
Fax(503) 255-4243
Sole ProprietorNo
Enumeration DateApril 14, 2009
✔ NPI 1043453582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in OR · MD11073
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
18000 SE STARK STREET, Gresham, OR 97233
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Vanbredavriesman's NPI number?

The NPI number for Paul Vanbredavriesman is 1043453582. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Paul Vanbredavriesman located?

Paul Vanbredavriesman practices at 18000 SE Stark Street, Gresham, OR 97233. The listed phone number is (503) 255-4243.

What is Paul Vanbredavriesman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Paul Vanbredavriesman was last updated on April 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.