Individual
BRADLEY PANKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
(971) 476-0854
(971) 233-6375
Mailing address
3324 N ARLINGTON PL, PORTLAND, OR 97217-7204
(971) 476-0854
(971) 233-6375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C10380
OR
Other
Enumeration date
10/20/2021
Last updated
05/05/2026
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