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BRADFORD LEAGUE
NPI 1851759641
Counselor - Mental Health in Portland, OR

Active since February 08, 2016
17640 NE HALSEY ST, PORTLAND, OR 97230(503) 489-5045(503) 489-5638 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradford League NPPES

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

BRADFORD LEAGUE (NPI 1851759641) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1851759641
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRADFORD LEAGUE
Location Address17640 NE HALSEY STPortland, OR 97230-6733
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (503) 465-2621
Phone(503) 489-5045
Fax(503) 489-5638
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
✔ NPI 1851759641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17640 NE HALSEY ST, Portland, OR 97230
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Other Providers at the Same Location NPPES 20

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

COLUMBIACARE SERVICES
Psychiatric Residential Treatment Facility
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (541) 858-8170
JERI DARR
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 654-7654
ANDREW BLACK
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JEWELL COLBERT
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
ROBERT VALLELY
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
MARIAH BARCINAS
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
PAULINE MANGLONA
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
AMANDA DREHER
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045

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 Bradford League's NPI number?

The NPI number for Bradford League is 1851759641. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Bradford League located?

Bradford League practices at 17640 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 489-5045.

What is Bradford League'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 Bradford League was last updated on February 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.