NPI 1083750798

Bridgeview

Organisation Psychiatric Residential Treatment Facility Portland, OR

Practice location

Address: 707 NW Everett St, Portland, OR 97209-3517
Phone: (503) 222-4906
Mailing address: 3056 NE Holladay St APT 303, Portland, OR 97232-2485

Authorised official

Name: Lawrence Reynolds
Title: Counselor
Phone: (503) 867-4270

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 171MOOOOOX (OR)

Other Psychiatric Residential Treatment Facility providers in Oregon →

Registry record

NPI: 1083750798
Entity type: Organization
NPI issued: 29 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.