NPIMap

Organization Active NPI

Bridges Family Wellness PC

  • Primary Care Clinic/Center
  • Gresham, OR
National Provider Identifier
1407283237
Registry record updated Oct 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1975 Issued in OR
Legal business name
BRIDGES FAMILY WELLNESS PC
Practice address
22400 SE Stark St
Suite 105
Gresham, OR 97030-2656
Phone
(503) 492-1221
Fax
(503) 907-0098
NPI assigned
Oct 13, 2013
Last updated
Oct 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2013

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

Authorized official

Name
Dr. Danielle Quimby Currey, NDNPI 1508293887
Title
Owner
Phone
(503) 492-1221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1975 OR Primary

Addresses

Primary practice location

22400 SE Stark St
Suite 105
Gresham, OR 97030-2656

Mailing address

22400 SE Stark St
Suite 105
Gresham, OR 97030-2656
Phone (503) 492-1221

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381622400000",
    "number": "1407283237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "address_2": "SUITE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-492-1221",
            "fax_number": "503-907-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "address_2": "SUITE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-492-1221",
            "fax_number": "503-907-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES FAMILY WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-13",
        "last_updated": "2013-10-13",
        "status": "A",
        "authorized_official_last_name": "CURREY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "QUIMBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-492-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2013; 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.