Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bradley Royce Pendergraft, LCSW

Individual provider Clinical Social Worker · NPI 1386984854

Mr. Bradley Royce Pendergraft, LCSW is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6105 SW Macadam Ave Ste 100
Portland, OR 97239-3640
Phone: (503) 327-8713
Fax: (503) 200-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2227 (OR)

Record details

NPI number1386984854
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 21, 2013
Last updated in NPPESFebruary 21, 2013

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