Organization
UPLIFTING BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRINE USANASE (CEO)
(602) 596-6895
Entity
Organization
Contact information
Practice address
5431 BONITA RD, LAKE OSWEGO, OR 97035-3213
(602) 596-6895
Mailing address
5431 BONITA RD, LAKE OSWEGO, OR 97035-3213
(602) 596-6895
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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