Individual
BRIDGET BORTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15383 S GRAVES RD, MULINO, OR 97042-9789
(360) 727-1450
Mailing address
15383 S GRAVES RD, MULINO, OR 97042-9789
(360) 727-1450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
09/23/2022
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