| Bridge City Mental Wellness Llc | |
|
10700 Sw Beaverton Hillsdale Hwy Ste 450 Beaverton OR 97005-4736 | |
| (971) 410-0366 | |
| Not Available |
| Full Name | Bridge City Mental Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10700 Sw Beaverton Hillsdale Hwy Ste 450, Beaverton, Oregon |
| Authorized Official Name and Position | Heatherf Marie Peterson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9714100366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge City Mental Wellness Llc 4850 Sw Scholls Ferry Rd Ste 201 Portland OR 97225-1692 Ph: (971) 410-0366 | Bridge City Mental Wellness Llc 10700 Sw Beaverton Hillsdale Hwy Ste 450 Beaverton OR 97005-4736 Ph: (971) 410-0366 |
| NPI Number | 1841185485 |
|---|---|
| Provider Enumeration Date | 06/12/2025 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841185485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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