IndividualActive
Bradley Pankey
NPI 1821751389 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1821751389
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- C10380 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5441 S Macadam Ave Ste a
Portland, OR 97239-3822
Phone: (971) 476-0854
Fax: (971) 233-6375
Approximate (ZIP-level) locationGet directions
Mailing address
3324 N Arlington Pl
Portland, OR 97217-7204
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.