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
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
12/07/2010
Last updated
10/02/2024
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