MEDICARE: MELODY BRADLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1003770744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY BRADLEY

Provider Business Mailing Address
First Line	:	3317 N LIDGERWOOD ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99207-1964
Country	:	US
Telephone Number	:	503-901-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	3317 N LIDGERWOOD ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99207-1964
Country	:	US
Telephone Number	:	503-901-5891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ MELODY BRADLEY ” Practice Location

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