Organization
ROBBIE BAHL, MD LLC
Active
Other names
Shanti Recovery & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBBIE BAHL MD (MEDICAL DIRECTOR & OWNER)
(503) 206-8850
Entity
Organization
Contact information
Practice address
3769 SE MILWAUKIE AVE, PORTLAND, OR 97202-3804
(503) 206-8850
Mailing address
3769 SE MILWAUKIE AVE, PORTLAND, OR 97202-3804
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD164885
OR
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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