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BRIDGETOWN PHYSICAL MEDICINE NPI 1003224213


NPI Information

NPI: 1003224213
Provider Name: BRIDGETOWN PHYSICAL MEDICINE

Doing Business As: HEALTHSOURCE OF HILLSBORO

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
862 SE OAK ST
SUITE 3A
HILLSBORO, OR
ZIP 97123
Phone: (503) 648-6997
Get Directions

BRIDGETOWN PHYSICAL MEDICINE is a chiropractor in Hillsboro, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BRIDGETOWN PHYSICAL MEDICINE NPI is 1003224213. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthsource Of Hillsboro.

The provider's business location address is:

862 SE OAK ST
SUITE 3A
HILLSBORO, OR
ZIP 97123
Phone: (503) 648-6997

The provider's authorized official is Antbony Marasco .
The authorized official title is Owner and has the following contact phone number (503) 648-6997.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 10/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4050OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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