Christie, Bradley Scott

Christie, Bradley Scott is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd 1St Floor, Wing A, Clackamas OR 97015-8970. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Christie, Bradley Scott can be contacted via phone (503) 381-0282.

Contact Information

Primary practice address
10180 Se Sunnyside Rd 1St Floor, Wing A Clackamas OR 97015-8970
Phone: (503) 381-0282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0355 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 01-R-11 Oregon

Profile Details

NPI number 1881717908
LBN Legal business name Christie, Bradley Scott
Credentials PHD, LFMT, CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Mar 18th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881717908 NPPES
Oregon MEDICAID 195164

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