Individual
PATRICK BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3100 HAWORTH AVE, SUITE 270, NEWBERG, OR 97132-2093
(503) 538-4805
(503) 538-4878
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6848
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500647048
—
OR
01
—
P01286216
RR MEDICARE
OR
Enumeration date
07/12/2012
Last updated
05/02/2016
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