Individual
BRADLEY SCOTT CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LFMT, CADC III
Contact information
Practice address
10180 SE SUNNYSIDE RD, 1ST FLOOR, WING A, CLACKAMAS, OR 97015-8970
(503) 381-0282
Mailing address
10180 SE SUNNYSIDE RD, 1ST FLOOR, WING A, CLACKAMAS, OR 97015-8970
(503) 381-0282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01-R-11
OR
106H00000X
Marriage & Family Therapist
Primary
T0355
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195164
—
OR
Enumeration date
04/06/2007
Last updated
03/18/2011
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