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1205236445
BRIDGEPORT FAMILY MEDICINE LLC
TIGARD, OR
NPI
1205236445
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Entity Type
Organization
Authorized Contact
STANDLEY ADAMEK
C0 Owner
503-603-9087
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO163558)
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
BRIDGEPORT FAMILY MEDICINE LLC
16083 SW UPPER BOONES FERRY RD STE 320
TIGARD, OR 97224-7736
Phone number: 503-603-9087
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Mailing Address
BRIDGEPORT FAMILY MEDICINE LLC
16083 SW UPPER BOONES FERRY RD STE 320
TIGARD, OR 97224-7736
Phone number: 503-603-9087
Copy
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