Bauer, Jason Richard

Bauer, Jason Richard is an individual health care provider with primary practice located at 25030 Sw Parkway Ave Ste 200 , Wilsonville OR 97070-9816. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bauer, Jason Richard can be contacted via phone (503) 612-0498.

Contact Information

Primary practice address
25030 Sw Parkway Ave Ste 200 Wilsonville OR 97070-9816
Phone: (503) 612-0498
Fax: (503) 459-0521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X MD26590 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD26590 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 3067 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD26590 Oregon

Profile Details

NPI number 1326029950
LBN Legal business name Bauer, Jason Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jun 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326029950 NPPES
Oregon MEDICAID 240378

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