Organization
BRIDGETOWN PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBY TUTHILL PHD (OWNER)
(503) 776-0017
Entity
Organization
Contact information
Practice address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
(503) 776-0017
Mailing address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
(503) 776-0017
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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