NPI 1124088679
Bridgetown Medical Group P.C.
Practice location
- Address
- 10000 SE Main St Suite 311, Portland, OR 97216
- Phone
- (503) 257-0748
- Fax
- (503) 255-0526
- Mailing address
- 10000 SE Main St STE 212, Portland, OR 97216-2442
Authorised official
- Name
- Lindsay Shaw
- Title
- Office Manager
- Phone
- (503) 416-6510
Registered specialties (5)
Surgery Physician
Primary
Obstetrics & Gynecology Physician
Vascular Surgery Physician
Colon & Rectal Surgery Physician
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Registry record
- NPI
- 1124088679
- Entity type
- Organization
- NPI issued
- 27 Mar 2006
- Record last updated
- 16 Jun 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.