Active NPI
Madison Thomas Bradshaw
- Behavior Technician
- Tualatin, OR
National Provider Identifier
1861389140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- ABA-IN-10257911
- Practice address
- 18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607 - Phone
- (503) 612-1000
- NPI assigned
- Jun 19, 2025
- Last updated
- Aug 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ABA-IN-10257911 | OR | Primary |
Addresses
Primary practice location
18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607
Mailing address
5320 Salal St SE Apt 105
Salem, OR 97306-3061
Phone (503) 586-4746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-IN-10257911 | OR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1861389140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 SALAL ST SE APT 105",
"city": "SALEM",
"state": "OR",
"postal_code": "973063061",
"telephone_number": "503-586-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18765 SW BOONES FERRY RD STE 100",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628607",
"telephone_number": "503-612-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS BRADSHAW",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-19",
"last_updated": "2025-08-21",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": "ABA-IN-10257911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
- Olivia Terris, MS RDN
- The Jackson Macy Clinic LLC (The Jackson Macy Clinic)
- The Sports & Spine Center PC
- Therapeutic Associates Inc (TAI Tualutin Physical Therapy)
- Curtis Richard Thiessen, MD
- Thomas P McWeeney MD PC (All Sports Orthopedics)
- Thomas P. McWeeney MD PC (All Sports Orthopedics)
- Carrie Ann Thomas, OTR/L
- Nicholas Ryan Thomas
- Sara Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.