Bradley, Juanita

Bradley, Juanita is an individual health care provider with primary practice located at 3311 Ne Martin Luther King Jr Blvd , Portland OR 97212-2086. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bradley, Juanita can be contacted via phone (503) 676-7371.

Contact Information

Primary practice address
3311 Ne Martin Luther King Jr Blvd Portland OR 97212-2086
Phone: (503) 676-7371
Fax: (503) 430-5403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 16-CRM-121 Oregon

Profile Details

NPI number 1457894388
LBN Legal business name Bradley, Juanita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2016
Last updated Nov 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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