Hailey Alexis Brice

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876

Phone

(510) 202-6881

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1124674536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 LIBERTY RD S # 269",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236876",
            "telephone_number": "510-202-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "HAILEY",
        "middle_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K Thompson, LCSW
• Brian Whitmer LLC
• Iris Briand, RDN
• Alundis M Brice
• Christina Figueroa Brice
• Jessicah Marie Brick, RDH
• Sydney Bricker, LMT, MSCN
• Marisa Brickman, MS, OTR/L
• Robert Harlan Bridenbaugh, M.D.
• Bridge City Behavioral Health LLC

• Behavior Technician in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.