Bridgeway Recovery Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

10 Issued in OR

Legal business name

BRIDGEWAY RECOVERY SERVICES

Practice address

3321 Harold Dr NE
Salem, OR 97305-1339

Phone

(503) 399-5597

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Tim Murphy

Title

Ceo

Phone

(503) 569-3056

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1730635608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 HAROLD DR.",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97305",
            "telephone_number": "503-399-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 HAROLD DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051339",
            "telephone_number": "503-399-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-569-3056"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRM",
            "identifier": "101YAO400X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Brichuk, FNP-C
• Kasey Brickey, AU.D.
• Lynne Renee Bridenhagen
• Crystal Marie Bridges, PT, DPT
• Bridgeway Recovery Services
• Bridgeway Recovery Services
• Bridgewood at Four Seasons LLC
• James Robert Brietenbauch
• James Joseph Briggs, LPC
• Kendal Rochelle Briggs

• Substance Abuse Rehabilitation Facility in Salem, OR
• Providers in Salem, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.