BRIDGE CITY FAMILY MEDICAL CLINIC PC NPI 1548330715

NPI Information

BRIDGE CITY FAMILY MEDICAL CLINIC, PC is a multi-specialty clinic center in Portland, OR. BRIDGE CITY FAMILY MEDICAL CLINIC, PC NPI is 1548330715. The provider is registered as an organization entity type.

The provider's business location address is:

1410 NE 106TH AVE
PORTLAND, OR
ZIP 97220-934
Phone: (503) 460-0405
Fax: (503) 460-0434

The provider's authorized official is Theresa Bunker .
The authorized official title is Owner and has the following contact phone number (503) 460-0405.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 9/30/2011.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.