Organization
BRIDGETOWN MEDICAL GROUP P.C.
Active
Other names
Bridgetown Surgical Clinic, 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 311, PORTLAND, OR 97216
(503) 257-0748
(503) 255-0526
Mailing address
10000 SE MAIN ST STE 212, PORTLAND, OR 97216-2442
(503) 416-6510
(503) 416-6529
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
03/27/2006
Last updated
06/16/2018
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