# BRIDGETOWN MEDICAL GROUP P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgetown Women'c Care, Healthcare Specialists NW P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396177937
- **Authorized official:** LINDSAY SHAW (OFFICE MANAGER)
- **Authorized official phone:** (503) 416-6510

## Contact information

- **Practice address:** 10000 SE MAIN ST, SUITE 212, PORTLAND, OR 97216
- **Practice address phone:** (503) 257-6919
- **Mailing address:** 10000 SE MAIN ST, SUITE 248, PORTLAND, OR 97216-2448
- **Mailing address phone:** (503) 416-6510
- **Mailing address fax:** (503) 416-6529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 076037162N5 | OR | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD12584 | OR | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD17656 | OR | Yes |
| 207VG0400X | Gynecology Physician | MD10669 | OR | — |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 06/16/2018