Bridgeport Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO163558 Issued in OR

Legal business name

BRIDGEPORT FAMILY MEDICINE LLC

Practice address

16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737

Phone

(503) 603-9087

Fax

(503) 603-9122

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Standley Adamek, D.O.

Title

C0-Owner

Phone

(503) 603-9087

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Bachhuber

  • Family Nurse Practitioner
  • Tigard, OR
  • NPI 1972265858
  NPD
• Tia Kinilau

  • Physician Assistant
  • Tigard, OR
  • NPI 1326747890
  NPD
• Megan Anne Lajoy, DNP, NP-C

  • Family Medicine Physician
  • Portland, OR
  • NPI 1801563762
  NPD
• Molly Christine McCluskey, PA-C

  • Physician Assistant
  • Tigard, OR
  • NPI 1376164145
  NPD
• Robert Luke Mohlman, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1730468091
  NPD
• Geneva Ann Eagon, PA

  • Physician Assistant
  • Portland, OR
  • NPI 1114533072
  NPD (past)
• Krislyn Miyagawa

  • Physician Assistant
  • Tigard, OR
  • NPI 1194562884
  NPD (past)
• Danielle Ashley Mowe, PA

  • Student in an Organized Health Care Education/Training Program
  • Tigard, OR
  • NPI 1669093431
  NPD (past)
• Elizabeth Olsen

  • Family Nurse Practitioner
  • Hillsboro, OR
  • NPI 1902660947
  NPD (past)
• Kiley Elizabeth Pauck, PA-S

  • Student in an Organized Health Care Education/Training Program
  • Hillsboro, OR
  • NPI 1124832787
  NPD (past)
• Michael Keith Phelps, MD

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1699060780
  NPD (past)
• Lorna Jean Shanks, MD

  • Family Medicine Physician
  • Portland, OR
  • NPI 1982999322
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1205236445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "STE 320",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "503-603-9087",
            "fax_number": "503-603-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247737",
            "telephone_number": "503-603-9087",
            "fax_number": "503-603-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 NE Cornelius Pass Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971246559",
            "country_code": "US",
            "telephone_number": "503-643-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEPORT FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "ADAMEK",
        "authorized_official_first_name": "STANDLEY",
        "authorized_official_title_or_position": "C0-OWNER",
        "authorized_official_telephone_number": "503-603-9087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO163558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144515230",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699060780",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Brenner
• Marcus Brent
• Meredith Rae Brezinski, PT, DPT
• Bridgeport Dental LLC
• Bridgeport Family Dental, LLC
• Bridgeport Medical Imaging, LLC (Center for Medical Imaging-Bridgeport)
• Bridgeport MRI LLC (Clearview MRI Bridgeport)
• Bridges
• Wendy Ann Bridges, BSW, QMHA
• Tina Joleen Briscoe

• Family Medicine Physician in Tigard, OR
• Providers in Tigard, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.