Bridge City Counseling Llc

LBN: Bridge City Counseling Llc
Bridge City Counseling Llc is an health care organization with primary practice located at 712 Se Hawthorne Blvd Suite 100, Portland OR 97214-3538. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Bridge City Counseling Llc can be contacted via phone (503) 545-5329, or through Bagley, Nathanael via phone (503) 545-5329.

Contact Information

Primary practice address
712 Se Hawthorne Blvd Suite 100 Portland OR 97214-3538
Phone: (503) 545-5329
Fax: (503) 327-8005
Website:
Map and Directions
Authorized official contact:
Name: Bagley, Nathanael Licensed Professional Counselor (LPC)
Phone: (503) 545-5329

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C2381 Oregon

Profile Details

NPI number 1407284953
LBN Legal business name Bridge City Counseling Llc
DBA Doing business as
Authorized official Bagley, Nathanael Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2013
Last updated Apr 13th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407284953 NPPES
Oregon MEDICAID 500669729

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