Bridgeport Family Medicine Llc
LBN: Bridgeport Family Medicine Llc
Bridgeport Family Medicine Llc is an health care organization with primary practice located at 16083 Sw Upper Boones Ferry Rd Ste 320, Tigard OR 97224-7736. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Bridgeport Family Medicine Llc can be contacted via phone (503) 603-9087, or through Adamek, Standley via phone (503) 603-9087.
Contact Information
Primary practice address
16083 Sw Upper Boones Ferry Rd Ste 320
Tigard OR 97224-7736
Phone: (503) 603-9087
Fax: (503) 603-9122
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO163558 | Oregon |
Profile Details
NPI number | 1205236445 |
---|---|
LBN Legal business name | Bridgeport Family Medicine Llc |
DBA Doing business as | |
Authorized official | Adamek, Standley Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 25th, 2014 |
Last updated | Aug 25th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205236445 | NPPES |
Oregon | Other | 1144515230 | NPI |
Oregon | Other | 1699060780 | NPI |
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