Individual
BEVERLY H. BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
2865 DAGGETT AVE OFC, KLAMATH FALLS, OR 97601-1106
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
11867
NV
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MD20461
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150915
—
OR
Enumeration date
12/12/2006
Last updated
03/22/2018
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