BRIDGETOWN RECOVERY (NPI# 1417360702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417360702 |
| Entity Type | Organization |
| Organization Name | BRIDGETOWN RECOVERY |
| Practice Address |
1135 Se Salmon St Portland OR 97214-3628 |
| Practice Telephone | 5035738388 |
| Practice Fax Number | 5062068106 |
| Mailing Telephone | 5035738388 |
| Mailing Fax Number | 5062068106 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | DR. BRIAN PAUL ESPARZA (OWNER) |
| Authorized Official Telephone | 5035738388 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MD27462 | OR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGETOWN RECOVERY, INC. | 1135 Se Salmon St, Ste 101, Portland, OR 97214 |
| Street Address |
1135 SE SALMON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932484797 | Anne Munson-phelps | Counselor | 1135 Se Salmon St, Portland, OR 97214-3375 | 2011-10-12 |
| 1891206199 | Jona Behrer | Counselor | 1135 Se Salmon St, Portland, OR 97214-3375 | 2017-10-13 |
| 1700319803 | Annie Munson-phelps, LLC | Marriage & Family Therapist | 1135 Se Salmon St, #102, Portland, OR 97214-3375 | 2017-04-05 |
| 1487199253 | Linda Pearson | Counselor | 1135 Se Salmon St, Suite L5, Portland, OR 97214-3375 | 2017-01-03 |
| 1326495599 | Taylor Wolf | Counselor | 1135 Se Salmon St, Portland, OR 97214-3375 | 2016-05-18 |
| 1699133348 | Sarah Wilson Counseling | Clinic/Center | 1135 Se Salmon St, Unit 101, Portland, OR 97214-3375 | 2016-02-09 |
| 1669864054 | Maria Menolasino | Counselor | 1135 Se Salmon St, Suite L3, Portland, OR 97214-3628 | 2015-02-23 |
| 1497146773 | Jaimie Doig | Counselor | 1135 Se Salmon St, Suite 212, Portland, OR 97214-3628 | 2015-02-09 |
| 1366849341 | Rosanne Marmor | Social Worker | 1135 Se Salmon St, Suite 106, Portland, OR 97214 | 2014-11-19 |
| 1912325192 | Carlee A. Kinnaman | Massage Therapist | 1135 Se Salmon St, Suite L3, Portland, OR 97214-3375 | 2014-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.