Individual
MS. BRIDGET CELESTE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239-3098
(503) 494-8211
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2014-0633
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2010
Last updated
02/17/2020
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