Bryan Robert Easlick

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

15-CRM-049 Issued in OR

Practice address

704 Main St Ste 302
Oregon City, OR 97045-1842

Phone

(971) 386-3407

Fax

(503) 723-6653

NPI assigned

Jan 30, 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

Other names 1

• Mr. Bryan Robert Easlick Professional name

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1851663389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16756",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920756",
            "telephone_number": "971-386-3407",
            "fax_number": "503-208-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MAIN ST STE 302",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451842",
            "telephone_number": "971-386-3407",
            "fax_number": "503-723-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLICK",
        "first_name": "BRYAN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "15-CRM-049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "EASLICK",
            "middle_name": "ROBERT",
            "prefix": "MR.",
            "credential": "CADC 1",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie Durst
• Sharon Dutton
• Laura Dyche
• Michelle Lee Dykstra, PHD
• Amy L Eades, DC
• Easter Care Center LLC
• Patrick Eaton
• Ebenezer'S Kind Heart
• Elizabeth Kathleen Stark Ebensteiner, M.S. CCC-SLP
• Sarah Nmi Echternkamp, AU.D.

• Peer Specialist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.