BRADLEY CHARLES VILES CRM/ CADC1-R/ QMHA-R NPI 1346800976

NPI Information

NPI: 1346800976
Provider Name: BRADLEY CHARLES VILES, CRM/ CADC1-R/ QMHA-R
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
58646 MCNULTY WAY
SAINT HELENS, OR
ZIP 97051
Phone: (503) 397-5211
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Bradley Charles Viles, CRM/ CADC1-R/ QMHA-R is a peer specialist in Saint Helens, OR. The provider is 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. Bradley Charles Viles, CRM/ CADC1-R/ QMHA-R NPI is 1346800976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

58646 MCNULTY WAY
SAINT HELENS, OR
ZIP 97051-210
Phone: (503) 397-5211

The enumeration date for this NPI number is 6/17/2019 and was last updated on 10/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		18-CRM-366	OREGON	Yes
2	171M00000X	Case Manager/Care Coordinator				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18-CRM-366	OTHER	OREGON	CRM CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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