D'Angelo Bradley
Technician, Personal Care Attendant in Portland, OR. Individual provider (NPI-1).
NPI number1467378166
StatusActive
Last updated in NPPESJun 26, 2026
Details
- NPI
- 1467378166
- Entity type
- Individual (NPI-1)
- Name
- D'Angelo Bradley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2026
- Certification date
- Jun 26, 2026
- Last updated
- Jun 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
7511 Se Henry StPortland, OR 97206-6445
Phone 503-771-6061
Mailing address
Po Box 8459Portland, OR 97207-8459
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