Bridgetown Recovery

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MD27462 Issued in OR

Legal business name

BRIDGETOWN RECOVERY

Practice address

1135 SE Salmon St
Portland, OR 97214-3628

Phone

(503) 573-8388

Fax

(506) 206-8106

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian Paul Esparza, M.D

Title

Owner

Phone

(503) 573-8388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1417360702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143628",
            "telephone_number": "503-573-8388",
            "fax_number": "506-206-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143628",
            "telephone_number": "503-573-8388",
            "fax_number": "506-206-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETOWN RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-573-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "MD27462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.