Bartholomew, Samuel Vincent
Bartholomew, Samuel Vincent is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 422 , Portland OR 97213-2984. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Bartholomew, Samuel Vincent can be contacted via phone (503) 488-2345.Contact Information
Primary practice address
5050 Ne Hoyt St Ste 422
Portland OR 97213-2984
Phone: (503) 488-2345
Fax: (503) 488-2350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD24703 | Oregon |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD24703 | Oregon |
Profile Details
| NPI number | 1235285214 |
|---|---|
| LBN Legal business name | Bartholomew, Samuel Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Nov 22nd, 2023 - about 2 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 | 1235285214 | NPPES |
| Oregon | MEDICAID | 022461 |
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