Summer Bradley, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC153566 Issued in OR

Practice address

6018 SE Stark St.
Suite 103
Portland, OR 97215-1990

Phone

(503) 333-0473

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1154610087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 NE HOYT ST.",
            "address_2": "#416",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133783",
            "telephone_number": "503-333-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 SE STARK ST.",
            "address_2": "SUITE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151990",
            "telephone_number": "503-333-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SUMMER",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC153566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bradley, LMT
• Michele Lea Bradley, QMHP-C, CADC-R, CRMI
• Nia Bradley
• Patricia Olea Bradley, RN, IBCLC
• Ryan Bradley, PHARMD.
• Elizabeth Morgan Bradshaw, LCSW
• Erin Bradshaw, LCSW
• George Ross Bradshaw, DNP, CRNA
• Jes Ryan Bradshaw, MA
• Andrea S. Bradway-Kuske, CADC 1, QHMP, THW

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.