Bradley Pankey

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C10380 Issued in OR

Practice address

4805 SW Oleson Rd
Portland, OR 97225-1420

Phone

(971) 476-0854

Fax

(971) 233-6375

NPI assigned

Oct 20, 2021

Sex

Male

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1821751389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 N ARLINGTON PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177204",
            "telephone_number": "971-476-0854",
            "fax_number": "971-233-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 SW OLESON RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251420",
            "telephone_number": "971-476-0854",
            "fax_number": "971-233-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKEY",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C10380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynsee Lanee Pangle, CRM
• Mirna Pani
• Cayla Panitz
• John Pank, LCSW
• Thomas Pankau, PHD
• Nithinunt Panklib, LMT
• Barbara Alison Panko, QMHP
• Loren Pankratz, PH.D.
• Justin S Panneck, M.S., PH.D., LPC
• Heidi M Pannke, LMT

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.