BRIDGETOWN RECOVERY NPI 1417360702

NPI Information

NPI: 1417360702
Provider Name: BRIDGETOWN RECOVERY
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1135 SE SALMON ST
PORTLAND, OR
ZIP 97214
Phone: (503) 573-8388
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BRIDGETOWN RECOVERY is an addiction (substance use disorder) counselor in Portland, OR. BRIDGETOWN RECOVERY NPI is 1417360702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1135 SE SALMON ST
PORTLAND, OR
ZIP 97214-628
Phone: (503) 573-8388
Fax: (506) 206-8106

The provider's authorized official is Brian Paul Esparza .
The authorized official title is Owner and has the following contact phone number (503) 573-8388.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 6/4/2014.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MD27462	OREGON	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: 11/14/2023

NPI Synchronization or Removal

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