MR. WILLIAM JAMES BRADFORD (NPI# 1376748798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376748798 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM JAMES BRADFORD |
| Credential | CADC INTERN |
| Practice Address |
2415 Se 43rd Ave Suite 200 Portland OR 97206-1600 |
| Mailing Address |
768 Se 193rd Ave Apt. C-316 Portland OR 97233-5784 |
| Practice Telephone | 5038720187 |
| Mailing Telephone | 5036744941 |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PRE-CADC INTERN | OR | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297511 | William Micheal Bradford | Behavioral Analyst | 1607 W 32nd St, Pueblo, CO 81008-1313 | 2019-10-22 |
| 1275067340 | William Bradford | Internal Medicine | 4150 V St Ste 3100, Sacramento, CA 95817-1460 | 2017-04-16 |
| 1467728550 | William Robert Bradford | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Ste 690, Louisville, KY 40202-3841 | 2012-03-22 |
| 1851579585 | William Dale Bradford | Counselor | 483 West Seedfarm Road, Sacaton, AZ 85247-0038 | 2008-02-05 |
| 1396748877 | William B Bradford | Radiology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | 2005-05-27 |
| 1598925125 | William Tate Bradford | Anesthesiology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2008-06-17 |
| 1659488724 | William R Bradford | Surgery | 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | 2006-08-24 |
| 1023046869 | William Bradford | Anesthesiology | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-06-29 |
| 1033152343 | William S Bradford | Surgery | 617 S Main St, Reidsville, NC 27320-5019 | 2006-06-14 |
| 1477591642 | William Bradford | Emergency Medicine | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-06-02 |
| Street Address |
2415 SE 43RD AVE SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164404836 | David John Kohler | Counselor | 2415 Se 43rd Ave, Suite 100, Portland, OR 97206-1600 | 2005-11-17 |
| 1700486586 | Tyler James Boulanger | Psychologist | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2020-10-29 |
| 1598385379 | Kathy J Kelly | Registered Nurse | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2020-04-21 |
| 1689214967 | Emily Hays | Case Manager/Care Coordinator | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2020-01-14 |
| 1083258750 | Emily Wilder | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2019-11-05 |
| 1639580012 | Richard Gear | Counselor | 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 | 2014-05-19 |
| 1427468982 | Kristina Hankamp | Adult Companion | 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 | 2014-05-05 |
| 1427477405 | Kayla Cronenbold | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2014-04-07 |
| 1770900136 | Pavlina Rodriguez | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2014-03-24 |
| 1508282989 | M Selena Bellas | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.