Smith, Bradley

Smith, Bradley is an individual health care provider with primary practice located at 847 Ne 19Th Ave Ste 100 , Portland OR 97232-2684. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Smith, Bradley can be contacted via phone (503) 238-0769.

Contact Information

Primary practice address
847 Ne 19Th Ave Ste 100 Portland OR 97232-2684
Phone: (503) 238-0769
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1740836931
LBN Legal business name Smith, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Nov 6th, 2019 - about 7 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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