Baz, Bronwyn

Baz, Bronwyn is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Baz, Bronwyn can be contacted via phone (503) 652-2880.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 652-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A96638 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD28390 Oregon

Profile Details

NPI number 1093936486
LBN Legal business name Baz, Bronwyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Aug 6th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093936486 NPPES
Oregon Other MD28390 OREGON MEDICAL LICENSE
Oregon MEDICAID 00A966380 OREGON MEDICAL LICENSE

Popular Providers