Individual provider · Type 1 NPI

Juanita Bradley

Peer Specialist · Portland, OR

NPI number 1457894388 Active

Practice location

3311 NE Martin Luther King Jr Blvd
Portland, OR 97212-2086

Call (503) 676-7371 Map

Fax (503) 430-5403

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X16-CRM-121 (OR)

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

Other peer specialist providers in Portland

See all in Portland →

About NPI 1457894388

Juanita Bradley's National Provider Identifier is 1457894388, issued on Nov 26, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Nov 26, 2016.