Organization
BRIDGE TO HOME LLC
Active
Organization
BRIDGE TO HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WONDAYE TAMENE DERESSA APRN (EXECUTIVE DIRECTOR)
(240) 355-1325
Entity
Organization
Contact information
Practice address
20282 CHANTICLEER DR, OREGON CITY, OR 97045-9826
(240) 355-1325
Mailing address
20282 CHANTICLEER DR, OREGON CITY, OR 97045-9826
(240) 355-1325
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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