Bauer, Jeremy Paul

Bauer, Jeremy Paul is an individual health care provider with primary practice located at 3101 Sw Sam Jackson Park Rd , Portland OR 97239-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bauer, Jeremy Paul can be contacted via phone (503) 221-3424.

Contact Information

Primary practice address
3101 Sw Sam Jackson Park Rd Portland OR 97239-3009
Phone: (503) 221-3424
Fax: (503) 221-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD155424 Oregon

Profile Details

NPI number 1609888742
LBN Legal business name Bauer, Jeremy Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 17th, 2017 - about 8 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 1609888742 NPPES
Oregon MEDICAID 500651796

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