IndividualActive
Bradley Durham, CADC1R
NPI 1154006559 · Addiction (Substance Use Disorder) Counselor · Coburg, OR
Provider details
- NPI number
- 1154006559
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC1R
- Sex
- Male
- Sole proprietor
- No
- License
- T-23-2661 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Serenity Ln
Coburg, OR 97408-9350
Phone: (208) 427-5064
Approximate (ZIP-level) locationGet directions
Mailing address
1 Serenity Ln
Coburg, OR 97408-9350
Registry dates
- Enumerated
- 2023-06-21
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.