Individual
IVAN I BILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, MT 2800, PORTLAND, OR 97225
(503) 216-2621
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD181351
OR
208M00000X
Hospitalist Physician
MD181351
OR
Other
Enumeration date
06/04/2015
Last updated
10/05/2020
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