Provider Demographics
NPI:1285529859
Name:CADBURY, ADRIANNE WARDER (LMT)
Entity type:Individual
Prefix:MS
First Name:ADRIANNE
Middle Name:WARDER
Last Name:CADBURY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7204 SW DURHAM ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7574
Mailing Address - Country:US
Mailing Address - Phone:503-941-9869
Mailing Address - Fax:503-352-5555
Practice Address - Street 1:7204 SW DURHAM ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97224-7574
Practice Address - Country:US
Practice Address - Phone:503-941-9869
Practice Address - Fax:503-352-5555
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13426225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist