Bader, Stephen B

Bader, Stephen B is an individual health care provider with primary practice located at 4805 Ne Glisan St Garden Level, Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bader, Stephen B can be contacted via phone (503) 215-6029.

Contact Information

Primary practice address
4805 Ne Glisan St Garden Level Portland OR 97213-2933
Phone: (503) 215-6029
Fax: (503) 215-6387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD17045 Oregon

Profile Details

NPI number 1790787422
LBN Legal business name Bader, Stephen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790787422 NPPES
Oregon MEDICAID 029657
Oregon MEDICAID 8128688

Popular Providers