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Organization
BRIDGETOWN MEDICAL GROUP P.C.
Active
Organization
BRIDGETOWN MEDICAL GROUP P.C.
Active
Other names
Bridgetown Women'c Care, Healthcare Specialists NW P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY SHAW (OFFICE MANAGER)
(503) 416-6510
Entity
Organization
Contact information
Practice address
10000 SE MAIN ST, SUITE 212, PORTLAND, OR 97216
(503) 257-6919
Mailing address
10000 SE MAIN ST, SUITE 248, PORTLAND, OR 97216-2448
(503) 416-6510
(503) 416-6529
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
076037162N5
OR
207V00000X
Obstetrics & Gynecology Physician
MD12584
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17656
OR
207VG0400X
Gynecology Physician
MD10669
OR
Other
Enumeration date
08/06/2013
Last updated
06/16/2018
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