# BRIDGEVIEW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083750798
- **Authorized official:** MR. LAWRENCE REYNOLDS QMHA (COUNSELOR)
- **Authorized official phone:** (503) 867-4270

## Contact information

- **Practice address:** 707 NW EVERETT ST, PORTLAND, OR 97209-3517
- **Practice address phone:** (503) 222-4906
- **Mailing address:** 3056 NE HOLLADAY ST APT 303, PORTLAND, OR 97232-2485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 171MOOOOOX | OR | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020