Individual provider · Type 1 NPI

William James Bradford, CADC INTERN

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1376748798 Active

Practice location

2415 SE 43rd Ave, Suite 200
Portland, OR 97206-1600

Mailing address

768 SE 193rd Ave, Apt. C-316
Portland, OR 97233-5784

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XPRE-CADC INTERN (OR)

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

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About NPI 1376748798

William James Bradford, CADC INTERN's National Provider Identifier is 1376748798, issued on Jun 16, 2007. 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 Nov 8, 2007.