Davies Clinic, Pc

LBN: Davies Clinic, Pc
Davies Clinic, Pc is an health care organization with primary practice located at 345 N. Grant St , Canby OR 97013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Davies Clinic, Pc can be contacted via phone (503) 266-2066, or through Bridgeman, Deona Lynn via phone (503) 266-2066.

Contact Information

Primary practice address
345 N. Grant St Canby OR 97013
Phone: (503) 266-2066
Fax: (503) 263-8719
Website:
Map and Directions
Authorized official contact:
Name: Bridgeman, Deona Lynn Doctor of Medicine (MD)
Phone: (503) 266-2066

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1669679932
LBN Legal business name Davies Clinic, Pc
DBA Doing business as
Authorized official Bridgeman, Deona Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2007
Last updated Dec 27th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669679932 NPPES
Oregon MEDICAID 171066

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