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Mr. Bradley Paul Roan Eagle
Case Manager/Care Coordinator in Baker City, Oregon
NPI 1497393425

Bradley Paul Roan Eagle is a Case Manager/Care Coordinator based in Baker City, OR. Bradley Paul Roan Eagle practices in Baker City, OR. The NPI Number for Bradley Paul Roan Eagle is 1497393425 and holds a License No. 21-CRM-411 (Oregon).

The current practice location address for Bradley Paul Roan Eagle is 3425 13Th St, Baker City, OR and can be reached out via phone at 605-516-0083. You can also correspond with Bradley Paul Roan Eagle through the mailing address at 3425 13TH ST, BAKER CITY, OR - 97814-1340 (mailing address contact number: 541-523-7400).

Location: 3425 13Th St, Baker City, OR, 97814-1340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497393425
Provider Name
Bradley Paul Roan Eagle
Credential
Provider Entity Type
Individual
Gender
Male
Address
3425 13Th St, Baker City, OR, 97814-1340
Phone Number
605-516-0083
Fax Number
Provider Enumeration Date
12/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-CRM-411 01 OR CRM CERTIFICATE - MHACBO
institution
Provider Business Practice Location Address Details
Address
3425 13Th St
City
Baker City
State
Oregon
Zip
97814-1340
Phone Number
605-516-0083
Fax Number
person
Provider Business Mailing Address Details
Address
3425 13Th St
City
Baker City
State
Oregon
Zip
97814-1340
Phone Number
605-516-0083
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
20-QMHA-R-0842 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
CADC-RT-20-486 (Oregon)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
21-CRM-411 (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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