Organization
HOLLY RIDGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANNE BRYSON (EXECUTIVE DIRECTOR)
(360) 373-2536
Entity
Organization
Contact information
Practice address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
(360) 373-4934
Mailing address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
(360) 373-4934
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007271
—
WA
05
—
7017742
—
WA
05
—
7660228
—
WA
Enumeration date
01/05/2007
Last updated
09/11/2025
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