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Contact Information

BRIDGETOWN CHIROPRACTIC AND WELLNESS PC
7727 NE GLISAN ST
PORTLAND, OR97213-6360
 Phone: 503-490-5647
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRIDGETOWN CHIROPRACTIC AND WELLNESS PC

NPI # 1407020290
LBN Legal business name BRIDGETOWN CHIROPRACTIC AND WELLNESS PC
Authorized official DAWN PETRICEVIC - (ACCOUNTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2008
Last updated 05/28/2026 - About 2 weeks ago
Identifiers
OR License # 273541
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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