NPIMap

Organization Active NPI

Bridgeway House

  • Speech-Language Pathologist
  • Springfield, OR
National Provider Identifier
1275953077
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12644 Issued in OR
Legal business name
BRIDGEWAY HOUSE
Practice address
37770 Upper Camp Creek Rd
Springfield, OR 97478-8753
Phone
(541) 345-0805
Fax
(541) 345-0855
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Patricia B. Wigney
Title
Executive Director
Phone
(541) 345-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12644 OR Primary

Addresses

Primary practice location

37770 Upper Camp Creek Rd
Springfield, OR 97478-8753

Mailing address

37770 Upper Camp Creek Rd
Springfield, OR 97478-8753
Phone (541) 345-0805

National Provider Directory

National Provider Directory

Locations

37770 Upper Camp Creek Rd
Springfield, OR 97478
Phone (541) 345-0805

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1275953077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37770 UPPER CAMP CREEK RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974788753",
            "telephone_number": "541-345-0805",
            "fax_number": "541-345-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37770 UPPER CAMP CREEK RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974788753",
            "telephone_number": "541-345-0805",
            "fax_number": "541-345-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "WIGNEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-345-0805"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.