BRIDGEWAY RECOVERY SERVICES NPI 1083844401

NPI Information

  • NPI: 1083844401
  • Provider Name: BRIDGEWAY RECOVERY SERVICES
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • :
  • Address: 750 FRONT ST NE
    SALEM, OR
    ZIP 97301
  • Phone: (503) 363-2021

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NPI Details

BRIDGEWAY RECOVERY SERVICES is an addiction (substance use disorder) counselor in Salem, OR. BRIDGEWAY RECOVERY SERVICES NPI is 1083844401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

750 FRONT ST NE
SALEM, OR
ZIP 97301-089
Phone: (503) 363-2021

The provider's authorized official is Tara La Vine .
The authorized official title is Sr. Hr Generalist and has the following contact phone number (503) 540-5554.

The enumeration date for this NPI number is 7/20/2009 and was last updated on 4/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YM0800XCounselorMental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QP2300XClinic/CenterPrimary CareNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
6324500000XSubstance Abuse Rehabilitation FacilityNo
73245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
8364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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