Organization
BRIDGE CITY FAMILY MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BUNKER FNP (OWNER)
(503) 460-0405
Entity
Organization
Contact information
Practice address
1410 NE 106TH AVE, PORTLAND, OR 97220-3934
(503) 460-0405
(503) 460-0434
Mailing address
1410 NE 106TH AVE, PORTLAND, OR 97220-3934
(503) 460-0405
(503) 460-0434
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
227362
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227632
—
OR
Enumeration date
11/08/2006
Last updated
09/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us