| Cory Lea Bradley, | |
|
992 W Idaho Ave, Ontario, OR 97914-2111 | |
| (208) 405-0020 | |
| (208) 739-4425 |
| Full Name | Cory Lea Bradley |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 992 W Idaho Ave, Ontario, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821764499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-43072 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Lea Bradley, 1901 N Lakes Pl, Meridian, ID 83646-5939 Ph: (208) 890-7165 | Cory Lea Bradley, 992 W Idaho Ave, Ontario, OR 97914-2111 Ph: (208) 405-0020 |
Genelle Jo Mackey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 685 N Oregon St, Ontario, OR 97914 Phone: 541-889-2219 | |
Timothy L Koberlein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Sarah Andrade, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
J. Harrison Whitcomb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 | |
Ron Vanausdal, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Ms. Janette Lynn Pennington, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2668 | |
Mrs. Jessica Carpenter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-881-1503 |