- Practice location
- 852 SW 15TH St, Redmond, OR 97756-2507
- Phone
- 541-848-0879
- Fax
- —
- Last updated
- February 5, 2026
Mary Alice Bradshaw is a Counselor, Mental Health based in Redmond, OR. Mary Alice Bradshaw practices in Redmond, OR. The NPI Number for Mary Alice Bradshaw is 1215888201 and holds a License No. R12478 (OR). The current practice location address for Mary Alice Bradshaw is 852 SW 15TH St, Redmond, OR 97756-2507 and can be reached out via phone at 541-848-0879.
Provider Profile Details
- NPI Number
- 1215888201
- Provider Name
- Mary Alice Bradshaw
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 852 SW 15TH St, Redmond, OR 97756-2507
- Phone Number
- 541-848-0879
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 5, 2026
- Last Update Date
- February 5, 2026
- Certification Date
- February 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 852 SW 15TH St
Redmond, OR 97756-2507 - City
- Redmond
- State
- Oregon
- Zip
- 97756-2507
- Phone Number
- 541-848-0879
Provider Business Mailing Address Details
- Address
- 20523 SE Stanford Pl
Bend, OR 97702-3767 - City
- Bend
- State
- OR
- Zip
- 97702-3767
- Phone Number
- 541-848-0879
License Information
- License Number
- R12478
- License State
- OR
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary A Bradshaw?
The NPI number of Mary A Bradshaw is 1215888201. It was assigned on February 5, 2026 and is currently active in the NPPES registry.
What is the specialty of Mary A Bradshaw?
Mary A Bradshaw is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number R12478.
Where does Mary A Bradshaw practice?
The practice location is 852 SW 15TH St, Redmond, OR 97756-2507. The office can be reached at 541-848-0879 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215888201 directly on the NPPES registry website.