Bradford, Jacqueline

Bradford, Jacqueline is an sole proprietor health care provider with primary practice located at 14523 Westlake Dr Ste 5 , Lake Oswego OR 97035-7785. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bradford, Jacqueline can be contacted via phone (971) 403-0990.

Contact Information

Primary practice address
14523 Westlake Dr Ste 5 Lake Oswego OR 97035-7785
Phone: (971) 403-0990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R3341 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X R3341 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C5272 Oregon

Profile Details

NPI number 1952799637
LBN Legal business name Bradford, Jacqueline
Credentials MA, MFT, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2015
Last updated Aug 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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