Organization
NORTHBRIDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MCARTHUR (MEMBER)
(503) 362-5235
Entity
Organization
Contact information
Practice address
310 K ST STE 200, ANCHORAGE, AK 99501-2064
(907) 264-6628
Mailing address
3155 RIVER RD S STE 100, SALEM, OR 97302-9819
(503) 362-5235
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
950483
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC# PENDING
—
AK
Enumeration date
02/18/2011
Last updated
02/18/2011
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