Bradley Leon Dennis, MSW, QMHP is a
Social Worker - Clinical based in Portland, Oregon. Bradley Leon Dennis is licensed to practice in * (Not Available) (license number ) and his current practice location is
2415 Se 43rd Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 238-0705.
NPI number for Bradley Leon Dennis is 1316043755 and his current mailing address is 10521 Ne 22nd St, Vancouver, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316043755.
Healthcare Provider's Profile
| Full Name | Bradley Leon Dennis |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2415 Se 43rd Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316043755
- Provider Enumeration Date: 09/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bradley Leon Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316043755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Leon Dennis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bradley Leon Dennis, MSW, QMHP
10521 Ne 22nd St,
Vancouver, WA 98664-4214
Ph: (503) 944-1211 | Bradley Leon Dennis, MSW, QMHP
2415 Se 43rd Ave,
Portland, OR 97206-1600
Ph: (503) 238-0705 |
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