# BRIGACARE, INCORPORATED

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

## Provider details

- **NPI number:** 1740844984
- **Authorized official:** DR. ROBERT JOHN TILLEY MD (PRESIDENT)
- **Authorized official phone:** (503) 840-0387

## Contact information

- **Practice address:** 20577 SW DUCKRIDGE PL, SHERWOOD, OR 97140-8694
- **Practice address phone:** (503) 840-0387
- **Practice address fax:** (503) 925-3023
- **Mailing address:** 20577 SW DUCKRIDGE PL, SHERWOOD, OR 97140-8694
- **Mailing address phone:** (503) 840-0387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2019
- **Last updated:** 02/28/2024