Viles, Bradley Charles

Viles, Bradley Charles is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Peer Specialist is his primary health care specialty. Viles, Bradley Charles can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
58646 Mcnulty Way Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 18-CRM-366 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1346800976
LBN Legal business name Viles, Bradley Charles
Credentials CRM/ CADC1-R/ QMHA-R
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2019
Last updated Oct 13th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346800976 NPPES
Oregon Other 18-CRM-366 CRM CERTIFICATION

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