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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497749345 | NPPES |
| Oregon | MEDICAID | 134047 |
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