LISA MARIE BRADLEY (NPI# 1952853442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952853442 |
| Entity Type | Individual |
| Full Name | LISA MARIE BRADLEY |
| Credential | MA, R-DMT, LPCI |
| Practice Address |
60575 Billadeau Rd Bend OR 97702-9338 |
| Mailing Address |
61843 Dobbin Rd Bend OR 97702-9536 |
| Practice Telephone | 5413829410 |
| Mailing Telephone | 4582060337 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
R4418 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080386 | Lisa Bradley | Massage Therapist | 1000 Elk Ct, Divide, CO 80814-7744 | 2019-02-24 |
| 1063878114 | Lisa Ann Bradley | Counselor | 189 Charleston Ave, Bremen, GA 30110-7914 | 2016-01-05 |
| 1598107989 | Lisa Deann Bradley | Chiropractor | 400 W 4th St Ste B, Corning, AR 72422-2724 | 2013-07-25 |
| 1487962577 | Lisa Lee Bradley | Social Worker | 39 Taunton Grn, Taunton, MA 02780-3251 | 2010-09-22 |
| 1427106764 | Lisa Laverne Bradley | Physician Assistant | 3831 Stocker St, Los Angeles, CA 90008-5103 | 2007-01-05 |
| 1255981668 | Lisa Bradley | Nurse Practitioner | 500 Parnassus Ave, San Francisco, CA 94143-2203 | 2019-09-17 |
| 1114486743 | Lisa Charisee Bradley | Homemaker | 4135 Holman Ln, Saint Louis, MO 63134-3925 | 2019-03-13 |
| 1477066645 | Lisa Bradley | Licensed Practical Nurse | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2017-11-10 |
| 1083074231 | Lisa C. Bradley | Counselor | 6832 Phillips Mill Rd, New Hope, PA 18938-9682 | 2016-03-01 |
| 1801225347 | Lisa Bradley | Pharmacist | 1601 Monmouth St, Newport, KY 41071-2634 | 2013-11-05 |
| Street Address |
60575 BILLADEAU RD |
| City | BEND |
| State | OR |
| Zip Code | 97702-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417048315 | Julie Jo Cline | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2006-09-27 |
| 1306491071 | Zoe Remillard | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2019-08-08 |
| 1760950513 | Mariah Nicole Schwab | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2018-11-09 |
| 1437665478 | Andeen Counseling, LLC | Clinic/Center | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2017-12-27 |
| 1073026159 | Adrienne Andeen | Social Worker | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2017-11-10 |
| 1720343395 | Margaret Anne Finestone | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2012-07-10 |
| 1336285238 | Jeannie Mood Campbell | Marriage & Family Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
| 1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on LISA MARIE BRADLEY.
| 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.