Individual provider · Type 1 NPI

Johnie Lynn Bradford

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1326307000 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Call (503) 645-3581 Map

Fax (503) 690-9605

Mailing address

4207 N Kerby Ave
Portland, OR 97217-3035

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1326307000

Johnie Lynn Bradford's National Provider Identifier is 1326307000, issued on May 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on May 15, 2012.