Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Bradley Paul Roan Eagle

Individual provider Case Manager/Care Coordinator · NPI 1497393425

Mr. Bradley Paul Roan Eagle is a Case Manager/Care Coordinator in Baker City, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

3425 13th St
Baker City, OR 97814-1340
Phone: (605) 516-0083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-20-486 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 20-QMHA-R-0842 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 21-CRM-411 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CADC-RT-20-486 (OR)

Record details

NPI number1497393425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2019
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address3425 13th St, Baker City, OR 97814-1340

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