Organization
BRIDGETOWN CHIROPRACTIC AND WELLNESS PC
Active
Organization
BRIDGETOWN CHIROPRACTIC AND WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN L PETRICEVIC (ACCOUNTS MANAGER)
(503) 490-5647
Entity
Organization
Contact information
Practice address
7727 NE GLISAN ST, PORTLAND, OR 97213-6360
(503) 490-5647
Mailing address
7727 NE GLISAN ST, PORTLAND, OR 97213-6360
(503) 490-5647
(503) 254-4749
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
273541
OR
Other
Enumeration date
04/14/2008
Last updated
05/28/2026
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