Organization
BRIDGETOWN RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PAUL ESPARZA M.D (OWNER)
(503) 573-8388
Entity
Organization
Contact information
Practice address
1135 SE SALMON ST, PORTLAND, OR 97214-3628
(503) 573-8388
(506) 206-8106
Mailing address
1135 SE SALMON ST, PORTLAND, OR 97214-3628
(503) 573-8388
(506) 206-8106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MD27462
OR
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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