Bridgeview

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

171MOOOOOX Issued in OR

Legal business name

BRIDGEVIEW

Practice address

707 NW Everett St
Portland, OR 97209-3517

Phone

(503) 222-4906

NPI assigned

Jan 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lawrence Reynolds, QMHANPI 1306069190

Title

Counselor

Phone

(503) 867-4270

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Reynolds

  • Case Manager/Care Coordinator
  • Portland, OR
  • NPI 1306069190
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083750798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 NE HOLLADAY ST APT 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NW EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093517",
            "telephone_number": "503-222-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-867-4270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OR",
            "license": "171MOOOOOX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgetown Medical Group P.C.
• Bridgetown Medical Group P.C.
• Bridgetown Optometric Associates LLC
• Bridgetown Physical Therapy and Training Studio, PC
• Bridgetown Recovery
• Bridgeview Dental Assoc LLC
• Bridgeview Surgery Center LLC
• Bridgeview Women'S Health, LLC
• Janice G. Bridgewater, LCSW
• Bridgeway Residential Services LLC

• Psychiatric Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.