Bradway-Kuske, Andrea S.
Bradway-Kuske, Andrea S. is an individual health care provider with primary practice located at 847 Ne 19Th Ave Suite 100, Portland OR 97232-2684. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Bradway-Kuske, Andrea S. can be contacted via phone (503) 238-0769.Contact Information
Primary practice address
847 Ne 19Th Ave Suite 100
Portland OR 97232-2684
Phone: (503) 238-0769
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1275983074 |
---|---|
LBN Legal business name | Bradway-Kuske, Andrea S. |
Credentials | CADC 1, QHMP, THW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2016 |
Last updated | Sep 12th, 2017 - about 7 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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