| Bridgestone | |
|
29549 Sw Villebois Dr S Wilsonville OR 97070-7329 | |
| (503) 427-0172 | |
| (503) 427-0798 |
| Full Name | Bridgestone |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 29549 Sw Villebois Dr S, Wilsonville, Oregon |
| Authorized Official Name and Position | Robert C Beckett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5418588170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgestone 3587 Heathrow Way Medford OR 97504-4004 Ph: (541) 585-8170 | Bridgestone 29549 Sw Villebois Dr S Wilsonville OR 97070-7329 Ph: (503) 427-0172 |
| NPI Number | 1073885141 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073885141 | NPI | - | NPPES |
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