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Organization
NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC
Active
Organization
NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC
Active
Other names
Physican Care NW
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE BRIDGE M.D. (PRESIDENT)
(206) 715-4652
Entity
Organization
Contact information
Practice address
5920 100TH ST SW STE 31, LAKEWOOD, WA 98499-2751
(253) 584-3023
(253) 582-1222
Mailing address
5920 100TH ST SW STE 30, LAKEWOOD, WA 98499-2751
(253) 830-2030
(253) 830-2055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
12/07/2010
Last updated
10/02/2024
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