Organization
CROSSBRIDGE, LLC
Active
Organization
CROSSBRIDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NAYLOR (OWNER)
(503) 362-5235
Entity
Organization
Contact information
Practice address
3155 RIVER RD S STE 100, SALEM, OR 97302-9819
(800) 541-3732
(503) 585-3267
Mailing address
5123 S MORROW ST, BOISE, ID 83709-5254
(800) 541-3732
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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