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Organization
DOUGLAS BALD, M.D., P.C.
Active
Organization
DOUGLAS BALD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS BALD M.D. (OWNER)
(503) 254-0331
Entity
Organization
Contact information
Practice address
10373 NE HANCOCK ST, SUITE 118, PORTLAND, OR 97220-3873
(503) 254-0331
(503) 254-2499
Mailing address
10373 NE HANCOCK ST, SUITE 118, PORTLAND, OR 97220-3873
(503) 254-0331
(503) 254-2499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159475
—
OR
Enumeration date
11/09/2012
Last updated
11/09/2012
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