Davies Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAVIES CLINIC, PC

Practice address

345 N. Grant St
Canby, OR 97013

Phone

(503) 266-2066

Fax

(503) 263-8719

NPI assigned

Jun 29, 2007

Last updated

Dec 27, 2012By 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

Deona Lynn Bridgeman, MDNPI 1306842919

Title

President

Phone

(503) 266-2066

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Deona Lynn Bridgeman, MD

  • Family Medicine Physician
  • Canby, OR
  • NPI 1306842919
  Authorized official Same address or phone

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1669679932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N. GRANT ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "97013",
            "telephone_number": "503-266-2066",
            "fax_number": "503-263-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N. GRANT ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "97013",
            "telephone_number": "503-266-2066",
            "fax_number": "503-263-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIES CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "BRIDGEMAN",
        "authorized_official_first_name": "DEONA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-266-2066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171066",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren E D'Agostino
• Katharine Anna Dalziel
• Nicole L Dane, PA-C
• Kimberly Diane Daniels, LMT
• David H Gisborne, DMD, PC
• Richard Carl Davies, DO
• Lance Davis, DC
• Deane Charles Deibele, RPH
• Olivia Florence Dell, LMT
• Dental Professionals of Oregon, P.C. (Dental Care of Canby)

• Family Medicine Physician in Canby, OR
• Providers in Canby, 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 Dec 27, 2012; 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.