MEDICARE: MR. BRYAN LEDBURY

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	101YM0800X	Mental Health Counselor	LH60783716	WA

General Provider Information

NPI Number	:	1124381330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRYAN LEDBURY

Provider Business Mailing Address
First Line	:	9830 NE CASCADES PKWY
Second Line	:	STE 200
City	:	PORTLAND
State	:	OR
Zip	:	97220-6832
Country	:	US
Telephone Number	:	503-901-7357
Fax Number	:

Provider Business Practice Location Address
First Line	:	9830 NE CASCADES PKWY
Second Line	:	STE 200
City	:	PORTLAND
State	:	OR
Zip	:	97220-6832
Country	:	US
Telephone Number	:	503-901-7357
Fax Number	:

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

Provider Enumeration Date	:	06/21/2012
Last Update Date	:	03/13/2026

Similar Medicare Providers

1275628380 — KENNETH DAVID HOLLADAY M.D.
Practice Location Address:

9830 NE CASCADES PKWY , SUITE 200
PORTLAND, OR
97220-6832

Practice Phone: 503-239-8101
Practice Fax:

1487968145 — MS. SHANNON MICHELLE MADSEN M.A.
Practice Location Address:

9830 NE CASCADES PKWY , STE. 200
PORTLAND, OR
97220-6832

Practice Phone: 503-400-0654
Practice Fax:

1538475652 — MRS. MARISSA A. PALMER MSW, LCSW
Practice Location Address:

9830 NE CASCADES PKWY , SUITE 200
PORTLAND, OR
97220-6832

Practice Phone: 503-239-8101
Practice Fax: 503-408-5021

1285943985 — DIANE E PONDER LCSW
Practice Location Address:

9830 NE CASCADES PKWY , SUITE 200
PORTLAND, OR
97220-6832

Practice Phone: 503-239-8101
Practice Fax: 503-239-8106

1407148174 — MR. ALEXANDER DIONYSIOS PLATANIAS
Practice Location Address:

9830 NE CASCADES PKWY , STE 200
PORTLAND, OR
97220-6832

Practice Phone: 503-939-0725
Practice Fax:

1700179769 — THEODORE LAYMAN LCSW
Practice Location Address:

9830 NE CASCADES PKWY , SUITE 200
PORTLAND, OR
97220-6832

Practice Phone: 503-408-5087
Practice Fax:

Directions to “ MR. BRYAN LEDBURY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.