Individual provider · Type 1 NPI

Michele Lea Bradley, QMHP-C, CADC-R, CRMI

Mental Health Counselor · Portland, OR

NPI number 1891684858 Active

Practice location

10230 SE Cherry Blossom Dr
Portland, OR 97216-2821

Mailing address

PO Box 16040
Portland, OR 97292-0040

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-25-4880
Peer Specialist 175T00000X23-CRM-1889 (OR)
Mental Health Counselor Primary 101YM0800X24-QMHPC-001579 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1891684858

Michele Lea Bradley, QMHP-C, CADC-R, CRMI's National Provider Identifier is 1891684858, issued on Jul 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 2, 2025.