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Contact Information

BRIDGEWAY ONCOLOGY
17610 SW ALEXANDER ST
BEAVERTON, OR97003-4411
 Phone: 503-481-4594
 Fax: 503-210-1445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIDGEWAY ONCOLOGY

NPI Number 1184250870
LBN Legal business name BRIDGEWAY ONCOLOGY
Authorized official STEVE FU - (OWNER/ CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2020
Last updated 06/04/2020 - About 6 years ago
Identifiers
OR Medicaid 276027
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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