Organization
BRIDGEWAY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA B. WIGNEY (EXECUTIVE DIRECTOR)
(541) 345-0805
Entity
Organization
Contact information
Practice address
37770 UPPER CAMP CREEK RD, SPRINGFIELD, OR 97478-8753
(541) 345-0805
(541) 345-0855
Mailing address
37770 UPPER CAMP CREEK RD, SPRINGFIELD, OR 97478-8753
(541) 345-0805
(541) 345-0855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12644
OR
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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