Marick, Bridget Jean

Marick, Bridget Jean is an individual health care provider with primary practice located at 2850 Se Powell Valley Rd Legacy Gohealth, Gresham OR 97080-1494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Marick, Bridget Jean can be contacted via phone (503) 666-5050.

Contact Information

Primary practice address
2850 Se Powell Valley Rd Legacy Gohealth Gresham OR 97080-1494
Phone: (503) 666-5050
Fax: (503) 666-1162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0001462 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA179535 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60599711 Washington

Profile Details

NPI number 1487771721
LBN Legal business name Marick, Bridget Jean
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Sep 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487771721 NPPES
Colorado MEDICAID 79721206

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