MR. SEAN STRADLEY (NPI# 1386064764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386064764 |
Entity Type | Individual |
Full Name | MR. SEAN STRADLEY |
Credential | LPC CADC III |
Practice Address |
593 Nw York Dr Bend OR 97703-7264 |
Mailing Address |
Po Box 26 Redmond OR 97756-0002 |
Practice Telephone | 5417283325 |
Mailing Telephone | 5037290777 |
Enumeration Date | 2014-04-23 |
Last Update Date | 2019-10-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60484457 | WA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16-06-25 | OR | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
C5136 | OR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500720796 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1011 Sw Emkay Dr Ste 104, Bend, OR 977023162 | 5413233477 | 5413233478 |
1601 E Fourth Plain Blvd, Vancouver, WA 986613753 | 3603978246 | |
1655 Sw Highland Ave Ste 3, Redmond, OR 97756 | 5037290777 | |
3 Se Cleveland Ave # A, Bend, OR 977021564 | 5037290777 |
Street Address |
593 NW YORK DR |
City | BEND |
State | OR |
Zip Code | 97703-7264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467838755 | Nicole Gricius | Counselor | 593 Nw York Dr, Bend, OR 97703-7264 | 2015-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
Find all providers in zip 97703 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326649005 | Birgit Essl | Counselor | 925 Nw Wall St Ste 203, Bend, OR 97703-2052 | 2020-11-08 |
1598362626 | Ascension Counseling LLC | Counselor | 15 Sw Colorado Ave Ste 127, Bend, OR 97702-1229 | 2020-10-01 |
1902413297 | Barbara Jenkins Jenkins Lehman | Counselor | 131 Nw Hawthorne Ave Ste 102, Bend, OR 97703-2957 | 2020-09-30 |
1215554159 | Briana Fox Counseling, LLC | Counselor | 131 Nw Hawthorne Ave Ste 211, Bend, OR 97703-2958 | 2020-06-26 |
1245860238 | Sydney Leigh Stringer | Counselor | 245 Nw Delaware Ave, Bend, OR 97703-2840 | 2020-01-19 |
1497110423 | Tamara Harty | Counselor | 18602 Couch Market Rd, Bend, OR 97703-9148 | 2015-12-17 |
1427424415 | Claire Rose Lapoma | Counselor | 731 Nw Franklin Ave Ste 100, Bend, OR 97703 | 2015-08-13 |
1306228259 | Scott Radzik | Counselor | 376 Sw Bluff Dr Ste 1, Bend, OR 97702-1399 | 2015-06-26 |
1417347584 | Dara Katherine Pearson | Counselor | 135 Nw Greeley Ave, Bend, OR 97701-2964 | 2015-01-28 |
1912322090 | Laurie Anne Hunter | Counselor | 2700 Ne 4th St Ste 240, Bend, OR 97701-3628 | 2014-02-25 |
Find all providers in BEND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.