Active NPI
Crossbridge, LLC
- Community/Behavioral Health Agency
- Salem, OR
National Provider Identifier
1790208379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CROSSBRIDGE, LLC
- Practice address
- 3155 River Rd S Ste 100
Salem, OR 97302-9819 - Phone
- (800) 541-3732
- Fax
- (503) 585-3267
- NPI assigned
- Jul 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Naylor
- Title
- Owner
- Phone
- (503) 362-5235
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
3155 River Rd S Ste 100
Salem, OR 97302-9819
Mailing address
5123 S Morrow St
Boise, ID 83709-5254
Phone (800) 541-3732
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500940800000",
"number": "1790208379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5123 S MORROW ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837095254",
"telephone_number": "800-541-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 RIVER RD S STE 100",
"city": "SALEM",
"state": "OR",
"postal_code": "973029819",
"telephone_number": "800-541-3732",
"fax_number": "503-585-3267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSBRIDGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A",
"authorized_official_last_name": "NAYLOR",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-362-5235"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.