person
Mr. Johnie Lynn Bradford
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1326307000

Johnie Lynn Bradford is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Johnie Lynn Bradford practices in Portland, OR. The NPI Number for Johnie Lynn Bradford is 1326307000 and holds a License No. (Oregon).

The current practice location address for Johnie Lynn Bradford is 14600 Nw Cornell Rd, Portland, OR and can be reached out via phone at 503-645-3581 and via fax at 503-690-9605.

Location: 14600 Nw Cornell Rd, Portland, OR, 97217-3035
person
Provider Profile Details
NPI Number
1326307000
Provider Name
Johnie Lynn Bradford
Credential
Provider Entity Type
Individual
Gender
Male
Address
14600 Nw Cornell Rd, Portland, OR, 97217-3035
Phone Number
503-645-3581
Fax Number
503-690-9605
Provider Enumeration Date
05/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14600 Nw Cornell Rd
City
State
Zip
97229-5442
Phone Number
503-645-3581
Fax Number
503-690-9605
person
Provider Business Mailing Address Details
Address
14600 Nw Cornell Rd
City
State
Zip
97229-5442
Phone Number
503-645-3581
Fax Number
503-690-9605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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