Uplifting Bridge

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UPLIFTING BRIDGE

Practice address

5431 Bonita Rd
Lake Oswego, OR 97035-3213

Phone

(602) 596-6895

NPI assigned

May 8, 2024

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandrine Usanase

Title

Ceo

Phone

(602) 596-6895

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1265280028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 BONITA RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353213",
            "telephone_number": "602-596-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 BONITA RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353213",
            "telephone_number": "602-596-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTING BRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "USANASE",
        "authorized_official_first_name": "SANDRINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-596-6895",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.