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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