BRADLEY SMITH

PORTLAND, OR
NPI1740836931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-08-13
Last Update Date2019-11-06
Business Address
BRADLEY SMITH
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
BRADLEY SMITH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: