Organization
BRIDGEWORKS OREGON
Active
Organization
BRIDGEWORKS OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JOE WILSON (DIRECTOR)
(503) 209-0335
Entity
Organization
Contact information
Practice address
7021 MCEWAN RD, LAKE OSWEGO, OR 97035-7830
(503) 209-0335
Mailing address
2512 SW HUBER ST, PORTLAND, OR 97219-6337
(503) 209-0335
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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