Whalio Doctors

NPI 1124088679

Bridgetown Medical Group P.C.

Organisation Surgery Physician Portland, OR

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
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X
Colon & Rectal Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208C00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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.