Bridgeview

NPI #1083750798 in Portland, Oregon

Provider Information

NPI Number: 1083750798
Entity Type: Organization
Organization Name: Bridgeview
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Jan 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 707 NW EVERETT ST
City: Portland
State: Oregon
ZIP Code: 97209-3517
Phone: (503) 222-4906

Authorized Official

Name: MR. LAWRENCE REYNOLDS, QMHA
Title: COUNSELOR
Phone: (503) 867-4270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Residential Treatment Facility	323P00000X	Primary

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