BRIDGEPORT FAMILY MEDICINE LLC NPI 1205236445

NPI Information

BRIDGEPORT FAMILY MEDICINE LLC is a family medicine in Tigard, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRIDGEPORT FAMILY MEDICINE LLC NPI is 1205236445. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16083 SW UPPER BOONES FERRY RD
STE 320
TIGARD, OR
ZIP 97224-736
Phone: (503) 603-9087
Fax: (503) 603-9122

The provider's authorized official is Standley Adamek .
The authorized official title is C0-owner and has the following contact phone number (503) 603-9087.

The CLIA number assigned to this NPI record is 38D2082754 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 8/25/2014.

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:

Other Identifiers

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