Juanita Bradley - Portland, OR

Juanita Bradley

Peer Specialist in Portland, Oregon

NPI 1457894388

Juanita Bradley is a Peer Specialist based in Portland, OR. Juanita Bradley practices in Portland, OR. The NPI Number for Juanita Bradley is 1457894388 and holds a License No. 16-CRM-121 (Oregon).

The current practice location address for Juanita Bradley is 3311 Ne Martin Luther King Jr Blvd, Portland, OR and can be reached out via phone at 503-676-7371 and via fax at 503-430-5403.

Location: 3311 Ne Martin Luther King Jr Blvd, Portland, OR, 97212-2086

NPI Number

1457894388

Provider Name

Juanita Bradley

Credential

Provider Entity Type

Individual

Gender

Female

Address

3311 Ne Martin Luther King Jr Blvd, Portland, OR, 97212-2086

Phone Number

503-676-7371

Fax Number

503-430-5403

Provider Enumeration Date

11/26/2016

Last Update Date

03/09/2024

Address

3311 Ne Martin Luther King Jr Blvd

City

Portland

State

Oregon

Zip

97212-2086

Phone Number

503-676-7371

Fax Number

503-430-5403

Address

3311 Ne Martin Luther King Jr Blvd

City

Portland

State

Oregon

Zip

97212-2086

Phone Number

503-676-7371

Fax Number

503-430-5403

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

16-CRM-121 (Oregon)

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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