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Organization
BRIDGEWAY RECOVERY SERVICES
Active
Organization
BRIDGEWAY RECOVERY SERVICES
Active
Other names
Bridgeway Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LA VINE (SR. HR GENERALIST)
(503) 540-5554
Entity
Organization
Contact information
Practice address
750 FRONT ST NE, SALEM, OR 97301-1089
(503) 363-2021
Mailing address
250 CHURCH ST SE STE 202, SALEM, OR 97301-3921
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/20/2009
Last updated
04/14/2025
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