Providence Integrative Medicine Bridgeport

LBN: Providence Health & Services Oregon
Providence Integrative Medicine Bridgeport is an health care organization with primary practice located at 18040 Sw Lower Boones Ferry Rd Suite 207, Tigard OR 97224-7259. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-5340, or through Noonan, Dennis via phone (503) 216-4657.

Contact Information

Primary practice address
18040 Sw Lower Boones Ferry Rd Suite 207 Tigard OR 97224-7259
Phone: (503) 215-5340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Noonan, Dennis
Phone: (503) 216-4657

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1245549724
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Integrative Medicine Bridgeport
Authorized official Noonan, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2010
Last updated Nov 2nd, 2011 - about 15 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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