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NPI Code Detail

MEDICARE: BRIDGES TO CHANGE

MEDICARE: BRIDGES TO CHANGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3101YA0400XAddiction (Substance Use Disorder) Counselor
4101YM0800XMental Health Counselor
5261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1770365413
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGES TO CHANGE
Provider Business Mailing Address
First Line : PO BOX 16576
Second Line :
City : PORTLAND
State : OR
Zip : 97292-0576
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7916 SE FOSTER RD STE 201
Second Line :
City : PORTLAND
State : OR
Zip : 97206-4289
Country : US
Telephone Number : 503-465-2749
Fax Number :
Authorized Official
Title or Position : CEO
Name : HANNAH STUDER
Credential :
Telephone Number : 503-465-2749
Provider Enumeration Date : 10/17/2023
Last Update Date : 06/18/2026

Similar Medicare Providers

1326410986 — BRIDGES TO CHANGE
Practice Location Address:
7916 SE FOSTER RD STE 201
PORTLAND, OR
97206-4289
Practice Phone: 503-465-2749
Practice Fax: 503-208-2596
1730548694 — KATHLEEN FLORES
Practice Location Address:
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PORTLAND, OR
97206-4289
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1538617444 — RAQUEL MAYER MA, NCC
Practice Location Address:
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1720530264 — DANIEL TELGARSKY CRM
Practice Location Address:
7916 SE FOSTER RD
PORTLAND, OR
97206-4289
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Practice Fax: 971-302-7469
1578071205 — DEVIN JOHN MCENRY CRM, BS
Practice Location Address:
7916 SE FOSTER RD STE 201
PORTLAND, OR
97206-4289
Practice Phone: 971-344-6185
Practice Fax:
1447756515 — CATHERINE ELAINE VAN VALKENBURGH CADC
Practice Location Address:
7916 SE FOSTER RD
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97206-4289
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Practice Fax:

Directions to “BRIDGES TO CHANGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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