Bridgeview Surgery Center LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BRIDGEVIEW SURGERY CENTER LLC

Practice address

1200 NW Naito Pkwy Ste 320
Portland, OR 97209-2829

Phone

(503) 208-3404

Fax

(503) 208-2140

NPI assigned

Jan 9, 2021

Organization subpart

No

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

Authorized official

Name

Emily Jones

Title

Credentialing Coordinator

Phone

(503) 208-3404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1629666110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW NAITO PKWY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092829",
            "telephone_number": "503-208-3404",
            "fax_number": "503-208-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW NAITO PKWY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092829",
            "telephone_number": "503-208-3404",
            "fax_number": "503-208-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVIEW SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "503-208-3404"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alisha Brien

• Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.