BRIDGEWAY RECOVERY SERVICES INC. NPI 1083844401

NPI Information

NPI: 1083844401
Provider Name: BRIDGEWAY RECOVERY SERVICES, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
750 FRONT ST NE
SALEM, OR
ZIP 97301
Phone: (503) 363-2021
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BRIDGEWAY RECOVERY SERVICES, INC. is an addiction (substance use disorder) counselor in Salem, OR. BRIDGEWAY RECOVERY SERVICES, INC. NPI is 1083844401. The provider is registered as an organization entity type and is a multi-specialty group.

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 Human Resources 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 10/4/2022.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QP2300X	Clinic/Center	Primary Care	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	324500000X	Substance Abuse Rehabilitation Facility		No
6	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
7	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	No
8	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

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: 4/28/2024

NPI Synchronization or Removal

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