Bridge City Mental Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRIDGE CITY MENTAL WELLNESS LLC

Practice address

10700 SW Beaverton Hillsdale Hwy Ste 450
Beaverton, OR 97005-4736

Phone

(971) 410-0366

NPI assigned

Jun 12, 2025

Last updated

Jun 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heatherf Marie Peterson, LCSW

Title

Psychotherapist

Phone

(971) 410-0366

Specialties & licenses 1

Addresses

Locations

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.

• Heather Peterson, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1427761287
  NPD

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1841185485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251692",
            "telephone_number": "971-410-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 450",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054736",
            "telephone_number": "971-410-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CITY MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "HEATHERF",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "971-410-0366",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Brewer, CNM
• Thomas James Brewer, PSY.D.
• Brian M. Spangler DDS, PC
• Erin Bricker, M.S., CCC-SLP
• Bridge City Foot & Ankle LLC
• Chelsey Kay Bridgeman, M.ED, BCBA, LBA
• Chelsey Nicole Bridges
• Bridgeway Oncology
• Brigette Keane Counseling, LLC
• Kathryn Briggs, P.T.

• Adult Mental Health Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.