Provider Demographics
NPI:1407283237
Name:BRIDGES FAMILY WELLNESS PC
Entity Type:Organization
Organization Name:BRIDGES FAMILY WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:QUIMBY
Authorized Official - Last Name:CURREY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-492-1221
Mailing Address - Street 1:22400 SE STARK ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-2656
Mailing Address - Country:US
Mailing Address - Phone:503-492-1221
Mailing Address - Fax:503-907-0098
Practice Address - Street 1:22400 SE STARK ST
Practice Address - Street 2:SUITE 105
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-2656
Practice Address - Country:US
Practice Address - Phone:503-492-1221
Practice Address - Fax:503-907-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-13
Last Update Date:2013-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1975261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care