Organization
BRIDGEWAY RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MURPHY (CEO)
(503) 569-3056
Entity
Organization
Contact information
Practice address
3321 HAROLD DR NE, SALEM, OR 97305-1339
(503) 399-5597
Mailing address
3321 HAROLD DR., SALEM, OR 97305
(503) 399-5597
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YAO400X
CRM
OR
Enumeration date
08/30/2016
Last updated
08/30/2016
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