Bradley Roan Eagle

NPI 1497393425 · on the registry since 2019

Practice

Address: 3425 13th St
Baker City, OR 97814
Phone: (605) 516-0083
Organisation at this address: New Directions Northwest, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 98

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 171M00000X
175T00000X
101YA0400X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon