KEVIN BRADLEY (NPI# 1447634142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447634142 |
| Entity Type | Individual |
| Full Name | KEVIN BRADLEY |
| Practice Address |
847 Ne 19th Ave Portland OR 97232-2684 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032380769 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455522 | Kevin Bradley | Military Health Care Provider | 903 13th St, Virginia Beach, VA 23451-4476 | 2020-07-23 |
| 1184192981 | Kevin Bradley | Social Worker | 12408 Alexander Cornell Dr, Fairfax, VA 22033-2414 | 2018-11-09 |
| 1578867552 | Kevin Lyle Bradley | Massage Therapist | 2429 Manatee Ave E Unit 3, Bradenton, FL 34208-2407 | 2011-01-05 |
| 1821317454 | Kevin Jamal Bradley | Counselor | 509 S Flower St Apt 2, Inglewood, CA 90301-2881 | 2010-05-21 |
| 1609971241 | Kevin G. Bradley | Chiropractor | 640 Alexander Dr Ste 107, Eufaula, OK 74432-4013 | 2006-09-14 |
| 1447770870 | Kevin Alan Bradley | Licensed Practical Nurse | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-06-27 |
| 1922551266 | Kevin Bradley | Military Health Care Provider | 1 Wahoo Ave, Groton, CT 06349 | 2016-08-03 |
| 1477996262 | Kevin K. Bradley | Anesthesiology | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2013-04-10 |
| 1093880486 | Kevin Grant Bradley | Emergency Medicine | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2006-11-21 |
| 1588683809 | Kevin Bradley | Social Worker | 977 Lakeview Pkwy, Suite 180, Vernon Hills, IL 60061-1400 | 2006-07-18 |
| Street Address |
847 NE 19TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417174 | Oregon Clinic PC | Obstetrics & Gynecology | 847 Ne 19th Ave, Suite 300, Portland, OR 97232-2684 | 2005-12-13 |
| 1366073504 | Angela R Osipovich | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2020-01-27 |
| 1649829714 | Shane Dalton Wight | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-09-10 |
| 1922650043 | Sean Smith | Registered Nurse | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-07-09 |
| 1518528942 | Lori Horton | Registered Nurse | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-06-26 |
| 1629636014 | Emma Lee Patton | Counselor | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-05-31 |
| 1285299024 | James Richard Broker | Counselor | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-05-07 |
| 1912460783 | Jessica Kay Long | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-04-09 |
| 1538622311 | Kendall Frances Burns | Community Health Worker | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-04-09 |
| 1396203014 | Shala Muldrew | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271462 | Taylor Salter | Adult Companion | 7018 N Armour St, Portland, OR 97203-6132 | 2019-08-21 |
| 1235785429 | Lonzall Tatum | Adult Companion | 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 | 2019-08-13 |
| 1205303021 | Imani Anderson | Adult Companion | 434 Ne Roselawn St, Portland, OR 97211-3826 | 2018-10-30 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1104364900 | Rosanna Hunnicutt | Adult Companion | 2601 Se 160th Ave, Portland, OR 97236-2092 | 2017-02-01 |
| 1043755028 | Raolat Ajibade IIi | Adult Companion | 847 N.e 19thave, Portland, OR 97232 | 2016-12-29 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1255789731 | Sherri Schroeder | Adult Companion | 847 Ne 19th Ave., Suite100, Portland, OR 97232 | 2016-05-25 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1609241371 | Denise Broom | Adult Companion | 25 Ne Stafford St, Portland, OR 97211-2241 | 2015-12-07 |
| Find all providers in PORTLAND | ||||
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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.