Bhutta, Omar J

Bhutta, Omar J is an individual health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Bhutta, Omar J can be contacted via phone (503) 276-6565.

Contact Information

Primary practice address
2801 N Gantenbein Ave Portland OR 97227-1623
Phone: (503) 276-6565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ML20008350 Washington
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X LT-3189 New Hampshire
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 15905 New Hampshire
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD174110 Oregon

Profile Details

NPI number 1033122502
LBN Legal business name Bhutta, Omar J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 7th, 2022 - about 2 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 1033122502 NPPES
New Hampshire MEDICAID 32001711
New Hampshire MEDICAID 500693056
New Hampshire MEDICAID 1021010

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