Organization Active NPI

Bridgeway Recovery Services

Doing business as Bridgeway Community Health

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1083844401
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BRIDGEWAY RECOVERY SERVICES
Doing business as
Bridgeway Community Health
Practice address
750 Front St NE
Salem, OR 97301-1089
Phone
(503) 363-2021
NPI assigned
Jul 20, 2009
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Tara La Vine
Title
Sr. HR Generalist
Phone
(503) 540-5554

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0809X

Addresses

Primary practice location

750 Front St NE
Salem, OR 97301-1089

Mailing address

250 Church St SE Ste 202
Salem, OR 97301-3921
Phone (503) 363-2021

Other practice location 1

3760 River Rd N
Keizer, OR 97303-5694
Phone (503) 363-2021

Other practice location 2

211 Boone Rd SE
Salem, OR 97306-1954
Phone (503) 363-2021

Other practice location 3

722 Hawthorne Ave NE
Salem, OR 97301-4674
Phone (503) 363-2021

Other practice location 4

1144 Center St NE
Salem, OR 97301-2523
Phone (503) 363-2021

Other practice location 5

3325 Harold Dr NE
Salem, OR 97305-1339
Phone (503) 363-2021

Other practice location 6

3321 Harold Dr NE
Salem, OR 97305-1339
Phone (503) 363-2021

Other practice location 7

797 Winter St NE
Salem, OR 97301-2430
Phone (503) 540-5554

Other practice location 8

380 E Jefferson St
Stayton, OR 97383-1855
Phone (503) 540-5554

Other practice location 9

215 Boone Rd SE
Salem, OR 97306-1954
Phone (503) 540-5554

Other practice location 10

613 N 1st Ave
Stayton, OR 97383-1704
Phone (503) 540-5554

Other practice location 11

565 Union St NE
Salem, OR 97301-2477
Phone (503) 540-5554

Other practice location 12

5061 Liberty Rd S
Salem, OR 97306-2073
Phone (503) 363-2021

Other names 1

  • Bridgeway Community Health Doing business as

National Provider Directory

National Provider Directory

Locations

1144 Center St NE
Salem, OR 97301

250 Church St SE
Ste 202
Salem, OR 97301

3321 Harold Dr NE
Salem, OR 97305
Phone (503) 399-5597

5061 Liberty Rd S
Salem, OR 97306

565 Union St NE
Salem, OR 97301
Phone (503) 316-6770

722 Hawthorne Ave NE
Salem, OR 97301
Phone (503) 385-3872

750 Front St NE
Salem, OR 97301
Phone (503) 361-2660

797 Winter St NE
Salem, OR 97301
Phone (503) 540-5554

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgewayrecovery/r4/

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1083844401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHURCH ST SE STE 202",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013921",
            "telephone_number": "503-363-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FRONT ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011089",
            "telephone_number": "503-363-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3760 River Rd N",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973035694",
            "country_code": "US",
            "telephone_number": "503-363-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Boone Rd SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973061954",
            "country_code": "US",
            "telephone_number": "503-363-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "722 Hawthorne Ave NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014674",
            "country_code": "US",
            "telephone_number": "503-363-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1144 Center St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012523",
            "country_code": "US",
            "telephone_number": "503-363-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3325 Harold Dr NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973051339",
            "country_code": "US",
            "telephone_number": "503-363-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3321 Harold Dr NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973051339",
            "country_code": "US",
            "telephone_number": "503-363-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "797 Winter St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012430",
            "country_code": "US",
            "telephone_number": "503-540-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Stayton",
            "state": "OR",
            "postal_code": "973831855",
            "country_code": "US",
            "telephone_number": "503-540-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Boone Rd SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973061954",
            "country_code": "US",
            "telephone_number": "503-540-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 N 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Stayton",
            "state": "OR",
            "postal_code": "973831704",
            "country_code": "US",
            "telephone_number": "503-540-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 Union St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012477",
            "country_code": "US",
            "telephone_number": "503-540-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5061 Liberty Rd S",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973062073",
            "country_code": "US",
            "telephone_number": "503-363-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEWAY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "LA VINE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "SR. HR GENERALIST",
        "authorized_official_telephone_number": "503-540-5554"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.