| Providence Integrative Medicine Bridgeport | |
|
18040 Sw Lower Boones Ferry Rd Suite 207 Tigard OR 97224-7259 | |
| (503) 215-5340 | |
| Not Available |
| Full Name | Providence Integrative Medicine Bridgeport |
|---|---|
| Speciality | Clinic/center |
| Location | 18040 Sw Lower Boones Ferry Rd, Tigard, Oregon |
| Authorized Official Name and Position | Dennis Noonan (ADMINISTRATION) |
| Authorized Official Contact | 5032164657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Integrative Medicine Bridgeport Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence Integrative Medicine Bridgeport 18040 Sw Lower Boones Ferry Rd Suite 207 Tigard OR 97224-7259 Ph: (503) 215-5340 |
| NPI Number | 1245549724 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245549724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Zoom Management Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11958 Sw Garden Pl, Tigard, OR 97223 Phone: 503-684-8252 Fax: 866-859-8195 | |
Tigard Holistic Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11930 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-639-1712 | |
Recovery Works Nw Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12540 Sw Main St Ste 202, Tigard, OR 97223 Phone: 503-906-9995 Fax: 503-597-7000 | |
Fred Meyer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11565 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-293-7085 | |
Providence Medical Group Scholls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-216-9220 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 Sw Durham Rd, Bldg 710, Tigard, OR 97224 Phone: 503-431-5775 Fax: 503-431-5776 | |
Best Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 306, Tigard, OR 97223 Phone: 503-891-2352 |