Bridgeway Oncology

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

BRIDGEWAY ONCOLOGY

Practice address

17610 SW Alexander St
Beaverton, OR 97003-4411

Phone

(503) 481-4594

Fax

(503) 210-1445

NPI assigned

Mar 13, 2020

Last updated

Jun 4, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steve Steve Fu, MD, PHD.

Title

Owner/ Ceo

Phone

(503) 481-4594

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridgeway Oncology, LLC Other name

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1184250870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17610 SW ALEXANDER ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970034411",
            "telephone_number": "503-481-4594",
            "fax_number": "503-210-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17610 SW ALEXANDER ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970034411",
            "telephone_number": "503-481-4594",
            "fax_number": "503-210-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "503-481-4594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276027",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Beaverton",
            "affiliation": "N",
            "address_1": "17610 SW Alexander St",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970034411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bridgeway Oncology, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bridgeway Oncology, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hematology & Oncology Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Hematology & Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.