Bridge City Family Medical Clinic, Pc

  • 1548330715 NPI Number
  • |
  • Actived: 12 years ago
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According to our database, NPI number for Bridge City Family Medical Clinic, Pc is 1548330715 and actived since Wednesday, November 8 2006. Bridge City Family Medical Clinic, Pc is an Organization provider specializes in Multi-Specialty. Provider information was last updated on 09/30/2011.

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Overview of Bridge City Family Medical Clinic, Pc

  • NPI number: 1083161814
  • Provider type: Organization
  • Specialty: Multi-Specialty
  • Active since: 11/08/2006
  • Last updated: 09/30/2011

Primary Scrop of Practice

  • Taxonomy Code: 261QM1300X
  • Specialty: Multi-Specialty
  • License Number: 227362
  • License State: OR

Provider Mailing Address

  • Address: 1410 Ne 106th Ave
    Portland, OR 97220
  • Phone: 503-460-0405
  • Fax: 503-460-0434

Provider Practice Location

  • Address: 1410 Ne 106th Ave
    Portland, OR 97220
  • Phone: 503-460-0405
  • Fax: 503-460-0434

Authorized Official

  • Name: Theresa Bunker FNP
  • Position/Title: Owner
  • Telephone Number: 503-460-0405

Scope of Practice

  • Taxonomy Code: 261QM1300X
  • Specialty: Multi-Specialty
  • License Number: 227362
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 227632
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Bridge City Family Medical Clinic, Pc?
  • A: The npi number for Bridge City Family Medical Clinic, Pc is 1548330715.
  • Q: What are Bridge City Family Medical Clinic, Pc's specialties?
  • A: Bridge City Family Medical Clinic, Pc's specialties are Multi-Specialty and different specialities.
  • Q: Where is Bridge City Family Medical Clinic, Pc business practice location?
  • A: Bridge City Family Medical Clinic, Pc business practice location is 1410 Ne 106th Ave, Portland, OR 97220.
  • Q: How to contact Bridge City Family Medical Clinic, Pc?
  • A: You can contact Bridge City Family Medical Clinic, Pc via 503-460-0405.
  • Q: What is the authorized official for Bridge City Family Medical Clinic, Pc?
  • A: The authorized office name is Theresa Bunker FNP with position/title is Owner and you can reach the authorized official via phone number 5034600405.