Bridge City Counseling Llc
Bridge City Counseling Llc is a health care provider in Portland, OR. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538, US |
|Practice Location Phone||503-545-5329|
|Practice Location Fax||503-327-8005|
|Legal Business Name||BRIDGE CITY COUNSELING LLC|
|Enumeration Date ? ||Oct 19, 2013|
|Last Update Date ? ||Apr 13, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Bridge City Counseling Llc
|Specialty||Provider Type||Specialization||License||License State|
|Counselor||Behavioral Health & Social Service Providers||Professional ||C2381||Oregon|
Legacy Provider IDs of Bridge City Counseling Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Bridge City Counseling Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Bridge City Counseling Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Nathanael Bagley (LPC)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||503-545-5329|