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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRADLEY PANKEY
NPI 1821751389
Counselor - Mental Health in Portland, OR

Active since October 20, 2021
4805 SW OLESON RD, PORTLAND, OR 97225(971) 476-0854(971) 233-6375 Get Directions Write a Review

NPPES record last updated: September 13, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 13, 2026, May 5, 2026, Oct 6, 2023 and 1 more (4 updates tracked since 2021).

About Bradley Pankey NPPES

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

BRADLEY PANKEY (NPI 1821751389) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C10380) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1821751389
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRADLEY PANKEY
Location Address4805 SW OLESON RDPortland, OR 97225-1420
Mailing Address3324 N Arlington PlPortland, OR 97217-7204 · (971) 476-0854 · Fax (971) 233-6375
Phone(971) 476-0854
Fax(971) 233-6375
Sole ProprietorYes
Enumeration DateOctober 20, 2021
Last NPPES UpdateSeptember 13, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2026
✔ NPI 1821751389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C10380
4805 SW OLESON RD, Portland, OR 97225
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MRS. HILLARY DAVIES LMT CA BA
Massage Therapist
4805 SW OLESON RD
PORTLAND, OR 97225
Washington County (503) 943-9880

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 Bradley Pankey's NPI number?

The NPI number for Bradley Pankey is 1821751389. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Bradley Pankey located?

Bradley Pankey practices at 4805 SW Oleson Rd, Portland, OR 97225. The listed phone number is (971) 476-0854.

What is Bradley Pankey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bradley Pankey was last updated on September 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.