William James Bradford, CADC INTERN
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI 1376748798 · NPPES record last updated Nov 8, 2007
Key facts
- NPI
- 1376748798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- PRE-CADC INTERN (OR)
- Practice address
- 2415 SE 43Rd Ave
Suite 200
Portland, OR 97206-1600 - Phone
- (503) 872-0187
- NPI assigned
- Jun 16, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRE-CADC INTERN | OR | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PRE-CADC INTERN | OR | Yes |
Addresses
Primary practice location
2415 SE 43Rd Ave
Suite 200
Portland, OR 97206-1600
Mailing address
768 SE 193Rd Ave
Apt. C-316
Portland, OR 97233-5784
Phone (503) 674-4941
Other providers in Portland, OR
- Cecilia Bradford
- Johnie Lynn Bradford
- Lori A Bradford
- Mary Francis Bradford
- Tristan S Bradford
- Peggy Ann Bradley Pearson
- Greg Edward Bradley-Popovich
- Allison Elizabeth Bradley
- Alyssa Bradley
- Bridget Ashley Bradley
All providers in Portland, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.