BRIDGEWAY ONCOLOGY (NPI# 1184250870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184250870 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY ONCOLOGY |
| Other Organization Name | BRIDGEWAY ONCOLOGY, LLC |
| Practice Address |
17610 Sw Alexander St Beaverton OR 97003-4411 |
| Practice Telephone | 5034814594 |
| Practice Fax Number | 5032101445 |
| Mailing Telephone | 5034814594 |
| Mailing Fax Number | 5032101445 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | DR. STEVE STEVE FU (OWNER/ CEO) |
| Authorized Official Telephone | 5034814594 |
| Authorized Official Credential | MD, PHD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 276027 | 05 |
| Other Name | Type Code |
|---|---|
| Bridgeway Oncology, LLC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGEWAY ONCOLOGY, LLC | 17610 Sw Alexander St, Beaverton, OR 97003 |
| Street Address |
17610 SW ALEXANDER ST |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97003-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
| Find all providers in zip 97003 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263189 | Kevin W.h. Yee | Internal Medicine | 15700 Sw Greystone Court, Beaverton, OR 97006-0000 | 2005-05-27 |
| 1881697415 | Gary W Takahashi | Internal Medicine | 15700 Sw Greystone Court, Beaverton, OR 97006-6011 | 2005-05-27 |
| 1326041948 | Frederick S Ey | Internal Medicine | 15700 Sw Greystone Court, Beaverton, OR 97006-0000 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
| 1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
| 1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
| 1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.