MS. ALICIA KIM BRADSHAW (NPI# 1821233859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821233859 |
| Entity Type | Individual |
| Full Name | MS. ALICIA KIM BRADSHAW |
| Credential | B.S. |
| Practice Address |
435 Ne Evans St Ste A Mcminnville OR 97128-4628 |
| Mailing Address |
37875 Jasper Lowell Rd Jasper OR 97438-9751 |
| Practice Telephone | 5034724020 |
| Mailing Telephone | 5417471235 |
| Mailing Fax Number | 5417474722 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 37875 Jasper Lowell Rd, Jasper, OR 974389751 | 5417471235 | 5417474722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944397 | Alicia G Bradshaw | Marriage & Family Therapist | 7111 Lee Hwy, Chattanooga, TN 37421-6706 | 2020-02-14 |
| Street Address |
435 NE EVANS ST STE A |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536750 | Justina Anne Dudley | Counselor | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-10-24 |
| 1043824972 | Sydney Rose Phillips | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-09-08 |
| 1508475112 | Pablo Daniel Gaspar-lopez | Social Worker | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-07-29 |
| 1841817830 | Matthew Scott Haning | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-06-25 |
| 1508499211 | Sarah C Schwartz | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-02-20 |
| 1366090821 | Joey R. Otto | Counselor | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2019-08-28 |
| 1518425370 | Tessa Henry | Counselor | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2019-03-11 |
| 1467916494 | Ricardo Buzollo Prata | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2019-01-23 |
| 1982173019 | Leslie Gutierrez | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2018-11-19 |
| 1336659192 | Nana Ama Hebert | Counselor | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2017-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462734 | Paula Borges Fontenelle | Counselor | 609 Ne Baker St Ste 280, Mcminnville, OR 97128-4958 | 2020-06-22 |
| 1689204620 | Mariah Wuellner | Counselor | 325 Sw Elmwood Ave, Mcminnville, OR 97128-5913 | 2020-01-17 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1548736184 | Courtney Greif | Counselor | 1275 Nw Adams St Ste C, Mcminnville, OR 97128-3549 | 2018-10-22 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| 1174060701 | Denise Bella Fellows | Counselor | 932 Ne 18th St, Mcminnville, OR 97128-3106 | 2017-01-20 |
| 1841671369 | Emanuel Recinos | Counselor | 490 Ne 5th St, Mcminnville, OR 97128 | 2015-06-10 |
| 1851781298 | Molly Winterrowd | Counselor | 672 Ne Evans St., Mcminnville, OR 97224 | 2015-01-23 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on MS. ALICIA KIM BRADSHAW.
| 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.