BRIDGEPORT FAMILY MEDICINE LLC

TIGARD, OR
NPI1205236445
Entity TypeOrganization
Authorized ContactSTANDLEY ADAMEK
C0 Owner
503-603-9087
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO163558)
Enumeration Date2014-08-25
Last Update Date2014-08-25
Business Address
BRIDGEPORT FAMILY MEDICINE LLC
16083 SW UPPER BOONES FERRY RD STE 320
TIGARD, OR 97224-7736
Phone number: 503-603-9087
Mailing Address
BRIDGEPORT FAMILY MEDICINE LLC
16083 SW UPPER BOONES FERRY RD STE 320
TIGARD, OR 97224-7736
Phone number: 503-603-9087