Individual
DANIEL BRADACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-5280
Mailing address
1151 SW VERMONT ST, PORTLAND, OR 97219-2163
(503) 916-5280
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
126637
OR
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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