PROVIDENCE INTEGRATIVE MEDICINE BRIDGEPORT
NPI 1245549724
Clinic/Center in Tigard, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1245549724. It was assigned to this organization in the NPPES registry on September 30, 2010. The provider is doing business as Providence Integrative Medicine Bridgeport.

Q: What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 30, 2010

18040 SW LOWER BOONES FERRY RD, SUITE 207, TIGARD, OR 97224(503) 215-5340 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Providence Integrative Medicine Bridgeport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE INTEGRATIVE MEDICINE BRIDGEPORT (NPI 1245549724) is a healthcare organization registered as a clinic/center in Tigard, Oregon and active in the NPI registry since September 2010. The organization lists Dennis Noonan, Administration, as its authorized official.

NPPES Registry Identity

NPI1245549724

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address18040 SW LOWER BOONES FERRY RD, SUITE 207Tigard, OR 97224-7259

Mailing AddressPo Box 3158Portland, OR 97208-3158

Phone(503) 215-5340

Organization SubpartNo

Authorized OfficialDennis NoonanAdministration · (503) 216-4657

Enumeration DateSeptember 30, 2010

Last NPPES UpdateNovember 2, 2011

✔ NPI 1245549724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

18040 SW LOWER BOONES FERRY RD, Tigard, OR 97224

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Other Names 1

Doing Business AsProvidence Integrative Medicine Bridgeport

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW DAVID BODMER PA-C

Physician Assistant

18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224

Washington County (503) 216-0700

PROVIDENCE HEALTH & SERVICES - OREGON

Clinic/Center

18040 SW LOWER BOONES FERRY RD, SUITE 104
PORTLAND, OR 97224

Washington County (855) 229-6490

KENRIC BRION CRAVER PA

Physician Assistant

18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224

Washington County (503) 216-0700

EMILY JUNE PUUKKA CLARK MD

Family Medicine

18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224

Washington County (503) 216-0700

JOHN H SCHWARTZ MD

Family Medicine

18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224

Washington County (503) 216-0700

BHAVESH RAJANI MD

Family Medicine

18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224

Washington County (503) 216-0700

MRS. LISA ROSE LUNDIN RPH

Pharmacist

18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224

Washington County (503) 216-0625

JESSICA N MEHTA MD

Dermatology

18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224

Washington County (503) 216-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1245549724. It was assigned to this organization in the NPPES registry on September 30, 2010. The provider is doing business as Providence Integrative Medicine Bridgeport.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 18040 SW Lower Boones Ferry Rd Suite 207, Tigard, OR 97224. The listed phone number is (503) 215-5340.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.