Organization
BRIDGES COMMUNITY HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY KENYON (MANAGER)
(541) 255-1411
Entity
Organization
Contact information
Practice address
1450 BIRCH AVE, COTTAGE GROVE, OR 97424-1417
(541) 255-1411
(541) 255-1412
Mailing address
1976 GARDEN AVE, EUGENE, OR 97403-1933
(541) 255-1411
(541) 255-1412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500767760
—
OR
Enumeration date
04/11/2017
Last updated
12/10/2025
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