Healthcare Provider Details

I. General information

NPI: 1811851603
Provider Name (Legal Business Name): BRADLEY KENNETH POSER LPC, MS, CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BRAD POSER LPC, MS, CRC

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 42627
PORTLAND OR
97242-0627
US

IV. Provider business mailing address

PO BOX 42627
PORTLAND OR
97242-0627
US

V. Phone/Fax

Practice location:
  • Phone: 408-230-7399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC6852
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: