Bailey, Robert B
Bailey, Robert B is an individual health care provider with primary practice located at 440 Nw Division St , Gresham OR 97030-5506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bailey, Robert B can be contacted via phone (503) 215-9500.Contact Information
Primary practice address
440 Nw Division St
Gresham OR 97030-5506
Phone: (503) 215-9500
Fax: (503) 215-9525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD14712 | Oregon |
Profile Details
| NPI number | 1346288123 |
|---|---|
| LBN Legal business name | Bailey, Robert B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 2nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346288123 | NPPES |
| Oregon | MEDICAID | 080721 | |
| Oregon | Other | 110189791 |
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