Active NPI
Nathaniel Lee Bryant, MA MFT, LPCI
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1891079174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 7409 SW Capitol Hwy
Suite 209
Portland, OR 97219-2432 - Phone
- (503) 597-8281
- NPI assigned
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
7409 SW Capitol Hwy
Suite 209
Portland, OR 97219-2432
Mailing address
11545 SW Beef Bend Rd Apt 10
Tigard, OR 97224-2723
Phone (503) 597-8281
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1891079174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11545 SW BEEF BEND RD APT 10",
"city": "TIGARD",
"state": "OR",
"postal_code": "972242723",
"telephone_number": "503-597-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7409 SW CAPITOL HWY",
"address_2": "SUITE 209",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192432",
"telephone_number": "503-597-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "NATHANIEL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MA MFT, LPCI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-04",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.