Organization Active NPI

Drawbridges Emdr

  • Community/Behavioral Health Agency
  • Lake Oswego, OR
National Provider Identifier
1568853059
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DRAWBRIDGES EMDR
Practice address
15446 Stephanie CT
Lake Oswego, OR 97035-3182
Phone
(503) 479-5474
Fax
(847) 907-0078
NPI assigned
Feb 5, 2015
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Eric Jon Bruemmer, MSNPI 1669651683
Title
Owner, Senior Counselor
Phone
(503) 479-5474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180-006657 IL
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

15446 Stephanie CT
Lake Oswego, OR 97035-3182

Mailing address

15446 Stephanie CT
Lake Oswego, OR 97035-3182
Phone (503) 479-5474

Other names 1

  • Drawbridges Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

21 N Brockway St
Ste 208
Palatine, IL 60067
Phone (847) 907-0078

Practitioners & affiliated clinicians

Practitioners 1

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1568853059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 STEPHANIE CT",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353182",
            "telephone_number": "503-479-5474",
            "fax_number": "847-907-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 STEPHANIE CT",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353182",
            "telephone_number": "503-479-5474",
            "fax_number": "847-907-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAWBRIDGES EMDR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "BRUEMMER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER, SENIOR COUNSELOR",
        "authorized_official_telephone_number": "503-479-5474",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180-006657",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drawbridges Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.