BRIDGEPORT FAMILY MEDICINE LLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1205236445- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 16083 SW UPPER BOONES FERRY RD STE 130, TIGARD, OR, 972247737
- Phone
- (503) 603-9087
- Fax
- (503) 603-9122
Specialties & Taxonomies
Family Medicine
Primary License: OR #DO163558