Individual provider · Type 1 NPI
Bradly Allen Goodwin
Peer Specialist · Newport, OR
NPI number
1407785231
Active
Practice location
5840 NW Biggs St Ste A
Newport, OR 97365-1157
Fax (541) 768-9361
Mailing address
PO Box 2629
Waldport, OR 97394-2629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Another provider at this address
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About NPI 1407785231
Bradly Allen Goodwin's National Provider Identifier is 1407785231, issued on May 18, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Newport, OR. The record was last updated on May 18, 2026.