Ryan Bradley, PHARMD.

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

12237 Issued in OR

Practice address

6348 NE Halsey St Ste a
Portland, OR 97213-4720

Phone

(503) 962-1700

Fax

(503) 215-8455

NPI assigned

Mar 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Credena Health LLC

  • Specialty Pharmacy
  • Portland, OR
  • NPI 1396125399
  NPD (past)
• Credena Health LLC

  dba Credena Health Pharmacy Cherry Hill

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1982342226
  NPD (past)

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1649544107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 NE HALSEY ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134720",
            "telephone_number": "503-962-1700",
            "fax_number": "503-215-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 NE HALSEY ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134720",
            "telephone_number": "503-962-1700",
            "fax_number": "503-215-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "RYAN",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "12237",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OR",
            "license": "12237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin N Bradley, LMT
• Megan Bradley, LMT
• Michele Lea Bradley, QMHP-C, CADC-R, CRMI
• Nia Bradley
• Patricia Olea Bradley, RN, IBCLC
• Summer Bradley, L.AC.
• Elizabeth Morgan Bradshaw, LCSW
• Erin Bradshaw, LCSW
• George Ross Bradshaw, DNP, CRNA
• Jes Ryan Bradshaw, MA

• Ambulatory Care Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Ambulatory Care Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.