| Bridges To Change | |
|
7916 Se Foster Rd Ste 201 Portland OR 97206-4289 | |
| (503) 465-2749 | |
| (503) 208-2596 |
| Full Name | Bridges To Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7916 Se Foster Rd Ste 201, Portland, Oregon |
| Authorized Official Name and Position | Katelyn Bessette (DIRECTOR OF TREATMENT SERVICES) |
| Authorized Official Contact | 5038587073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges To Change Po Box 16576 Portland OR 97292-0576 Ph: () - | Bridges To Change 7916 Se Foster Rd Ste 201 Portland OR 97206-4289 Ph: (503) 465-2749 |
| NPI Number | 1326410986 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326410986 | NPI | - | NPPES |
| 500703921 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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