Bagby, Susan Pound

Bagby, Susan Pound is an individual health care provider with primary practice located at 3314 Sw Us Veterans Hospital Rd Mail Code Pp262, Portland OR 97239-2940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bagby, Susan Pound can be contacted via phone (503) 494-8490.

Contact Information

Primary practice address
3314 Sw Us Veterans Hospital Rd Mail Code Pp262 Portland OR 97239-2940
Phone: (503) 494-8490
Fax: (503) 494-5330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD09557 Oregon

Profile Details

NPI number 1245245760
LBN Legal business name Bagby, Susan Pound
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 10th, 2007 - about 18 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245245760 NPPES
Oregon MEDICAID 042028

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