Bauer, Maxine

Bauer, Maxine is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Suite 395, Portland OR 97225-6652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bauer, Maxine can be contacted via phone (503) 216-2602.

Contact Information

Primary practice address
9427 Sw Barnes Rd Suite 395 Portland OR 97225-6652
Phone: (503) 216-2602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD20753 Oregon

Profile Details

NPI number 1497749345
LBN Legal business name Bauer, Maxine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Feb 5th, 2021 - about 3 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 1497749345 NPPES
Oregon MEDICAID 134047

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