Organization
BRIDGETOWN MEDICAL GROUP P.C.
Active
Other names
Bridgetown Women'c Care, 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 212, PORTLAND, OR 97216
(503) 257-6919
Mailing address
10000 SE MAIN ST, SUITE 248, PORTLAND, OR 97216-2448
(503) 416-6510
(503) 416-6529
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
076037162N5
OR
207V00000X
Obstetrics & Gynecology Physician
MD12584
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17656
OR
207VG0400X
Gynecology Physician
MD10669
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070490
—
OR
Enumeration date
08/06/2013
Last updated
06/16/2018
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