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Organization

BRIDGEPORT EYE PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE W MADSEN MD (OWNER)
(541) 971-1514
Entity
Organization

Contact information

Practice address
20015 SW PACIFIC HWY STE 150, SHERWOOD, OR 97140-9316
(503) 610-1025
(503) 610-1596
Mailing address
20015 SW PACIFIC HWY STE 150, SHERWOOD, OR 97140-9316
(503) 610-1025
(503) 610-1596

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1670ATI
OR
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
DO22937
OR
207W00000X
Ophthalmology Physician
MD25517
OR
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
07/03/2007
Last updated
08/27/2025
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