# BAY CARE MED CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841511664
- **Authorized official:** STEPHEN NEWBERRY (CEO)
- **Authorized official phone:** (503) 853-0868

## Contact information

- **Practice address:** 2100 NE BROADWAY ST, PORTLAND, OR 97232-1569
- **Practice address phone:** (503) 853-0868
- **Mailing address:** 2100 NE BROADWAY ST, PORTLAND, OR 97232-1569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD16896 | OR | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 06/15/2010