Bradley Scott Christie, PHD, LFMT, CADC III

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0355 Issued in OR

Practice address

10180 SE Sunnyside Rd
1St Floor, Wing a
Clackamas, OR 97015-8970

Phone

(503) 381-0282

NPI assigned

Apr 6, 2007

Last updated

Mar 18, 2011By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1881717908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "address_2": "1ST FLOOR, WING A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-381-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "address_2": "1ST FLOOR, WING A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-381-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "credential": "PHD, LFMT, CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "01-R-11",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195164",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hao-Jun Jonathan Chong, M.D.
• Christine Eun Jin Choo, MD
• Mary Suzanne Christ, L.M.T.
• Rebecca Lou Christensen, ANP
• Helena Christiansen
• Jennifer Chu, PHARMD
• Jane Y Chung, MD
• My Chuong
• Whitney Church, MSW, LCSW
• Randy Jerome Cima, CRNA

• Marriage & Family Therapist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.