JUANITA BRADLEY
NPI 1457894388
Peer Specialist in Portland, OR

Q: What is Juanita Bradley's NPI number?

The NPI number for Juanita Bradley is 1457894388. It was assigned to this individual provider in the NPPES registry on November 26, 2016.

Q: What is Juanita Bradley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Juanita Bradley was last updated on November 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 26, 2016

3311 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212(503) 676-7371(503) 430-5403 Get Directions Write a Review

NPPES record last updated: November 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Juanita Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANITA BRADLEY (NPI 1457894388) is an individual peer specialist in Portland, Oregon, licensed in Oregon (16-CRM-121) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1457894388

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJUANITA BRADLEY

Location Address3311 NE MARTIN LUTHER KING JR BLVDPortland, OR 97212-2086

Mailing Address3311 Ne Martin Luther King Jr BlvdPortland, OR 97212-2086 · (503) 676-7371 · Fax (503) 430-5403

Phone(503) 676-7371

Fax(503) 430-5403

Sole ProprietorNo

Enumeration DateNovember 26, 2016

✔ NPI 1457894388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 16-CRM-121

Definition

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.

3311 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97212

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NECOLA HENDERSON

Peer Specialist

3311 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212

Multnomah County (503) 676-3710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanita Bradley's NPI number?

The NPI number for Juanita Bradley is 1457894388. It was assigned to this individual provider in the NPPES registry on November 26, 2016.

Where is Juanita Bradley located?

Juanita Bradley practices at 3311 NE Martin Luther King Jr Blvd, Portland, OR 97212. The listed phone number is (503) 676-7371.

What is Juanita Bradley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Juanita Bradley was last updated on November 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.