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BRIDGE CITY FAMILY MEDICAL CLINIC, PC
NPI 1548330715
Clinic/Center - Multi-Specialty in Portland, OR

Active since November 08, 2006
1410 NE 106TH AVE, PORTLAND, OR 97220(503) 460-0405(503) 460-0434 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bridge City Family Medical Clinic, Pc NPPES

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

BRIDGE CITY FAMILY MEDICAL CLINIC, PC (NPI 1548330715) is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since November 2006. The organization lists Theresa Bunker, Owner, as its authorized official.

NPPES Registry Identity

NPI1548330715
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBRIDGE CITY FAMILY MEDICAL CLINIC, PC
Location Address1410 NE 106TH AVEPortland, OR 97220-3934
Mailing Address1410 Ne 106th AvePortland, OR 97220-3934 · (503) 460-0405 · Fax (503) 460-0434
Phone(503) 460-0405
Fax(503) 460-0434
Organization SubpartNo
Authorized OfficialTheresa BunkerOwner · (503) 460-0405
Enumeration DateNovember 8, 2006
Last NPPES UpdateSeptember 30, 2011
✔ NPI 1548330715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in OR · 227362
1410 NE 106TH AVE, Portland, OR 97220
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN118600OR
Medicaid227632OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 15

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

KACY L HERBST PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
ANGELINA M POLITO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
GWYNETH THERESA JONES DNP, FNP
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
BRITNEY HERMAN NP-C WHNP-BC
Nurse Practitioner
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
CHELSEA MARIE JOHNSON
Nurse Practitioner (Primary Care)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
THERESA BUNKER FNP
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
DR. BRITTANY LYN KOLLURU N.D.
Naturopath
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
JANE LOUISE IRVIN DECKER FNP-C
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405

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 Bridge City Family Medical Clinic, PC's NPI number?

The NPI number for Bridge City Family Medical Clinic, PC is 1548330715. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Bridge City Family Medical Clinic, PC located?

Bridge City Family Medical Clinic, PC is located at 1410 NE 106th Ave, Portland, OR 97220. The listed phone number is (503) 460-0405.

What is Bridge City Family Medical Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Bridge City Family Medical Clinic, PC accept?

Health plans from Moda Health Plan, Inc. list Bridge City Family Medical Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bridge City Family Medical Clinic, PC was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.