Bridgetown Recovery | |
1135 Se Salmon St Portland OR 97214-3628 | |
(503) 573-8388 | |
(506) 206-8106 |
Full Name | Bridgetown Recovery |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1135 Se Salmon St, Portland, Oregon |
Authorized Official Name and Position | Brian Paul Esparza (OWNER) |
Authorized Official Contact | 5035738388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridgetown Recovery 1135 Se Salmon St Portland OR 97214-3628 Ph: (503) 573-8388 | Bridgetown Recovery 1135 Se Salmon St Portland OR 97214-3628 Ph: (503) 573-8388 |
NPI Number | 1417360702 |
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Provider Enumeration Date | 06/04/2014 |
Last Update Date | 06/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417360702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | MD27462 (Oregon) | Primary |
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