Smith, Kurt Bradford

Smith, Kurt Bradford is an individual health care provider with primary practice located at 155 S Empire Blvd , Coos Bay OR 97420-3374. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Kurt Bradford can be contacted via phone (541) 435-1152.

Contact Information

Primary practice address
155 S Empire Blvd Coos Bay OR 97420-3374
Phone: (541) 435-1152
Fax: (541) 756-2111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19-QMHA-I-00673 Oregon
Other Service Providers / Peer Specialist 175T00000X 16-CRM-084 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18-09-40 Oregon

Profile Details

NPI number 1356841076
LBN Legal business name Smith, Kurt Bradford
Credentials CADC II, CRM, QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2018
Last updated Oct 3rd, 2019 - about 6 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.

Request for update

Popular Providers