Individual
MRS. DEONA LYNN BRIDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 N GRANT ST, CANBY, OR 97013-3610
(503) 266-2066
(503) 263-8719
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22254
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288321
—
OR
01
—
R107077
MEDICARE PTAN
OR
Enumeration date
06/28/2005
Last updated
09/18/2025
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