Provider Demographics
NPI:1548964257
Name:SALADINO, BRIDGET (MDIV, DMIN (ABD))
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:SALADINO
Suffix:
Gender:F
Credentials:MDIV, DMIN (ABD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 NE HANCOCK ST STE 206
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-5321
Mailing Address - Country:US
Mailing Address - Phone:503-209-1252
Mailing Address - Fax:971-369-8653
Practice Address - Street 1:3939 NE HANCOCK ST STE 206
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-5321
Practice Address - Country:US
Practice Address - Phone:503-209-1252
Practice Address - Fax:971-369-8653
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR8262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional