Organization
BRIDGE CITY MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHERF MARIE PETERSON LCSW (PSYCHOTHERAPIST)
(971) 410-0366
Entity
Organization
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 450, BEAVERTON, OR 97005-4736
(971) 410-0366
Mailing address
4850 SW SCHOLLS FERRY RD STE 201, PORTLAND, OR 97225-1692
(971) 410-0366
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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