MR. WILLIAM JAMES BRADFORD CADC INTERN NPI 1376748798

NPI Information

NPI: 1376748798
Provider Name: MR. WILLIAM JAMES BRADFORD, CADC INTERN
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2415 SE 43RD AVE
SUITE 200
PORTLAND, OR
ZIP 97206
Phone: (503) 872-0187
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MR. William James Bradford, CADC INTERN is an addiction (substance use disorder) counselor in Portland, OR. MR. William James Bradford, CADC INTERN NPI is 1376748798. 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:

2415 SE 43RD AVE
SUITE 200
PORTLAND, OR
ZIP 97206-600
Phone: (503) 872-0187

The enumeration date for this NPI number is 6/16/2007 and was last updated on 11/8/2007.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	PRE-CADC INTERN	OREGON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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