Individual
BRIAN EUGENE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA B.A.
Contact information
Practice address
20 E 13TH AVE, EUGENE, OR 97401-3535
(541) 913-7633
Mailing address
88049 LLAMA LN, VENETA, OR 97487-8732
(541) 913-7633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
09/11/2025
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