Organization
BRIGACARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN TILLEY MD (PRESIDENT)
(503) 840-0387
Entity
Organization
Contact information
Practice address
20577 SW DUCKRIDGE PL, SHERWOOD, OR 97140-8694
(503) 840-0387
(503) 925-3023
Mailing address
20577 SW DUCKRIDGE PL, SHERWOOD, OR 97140-8694
(503) 840-0387
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
04/23/2019
Last updated
02/28/2024
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