Individual
DR. EDWARD PAUL BAHK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19200 N KELSEY ST, MONROE, WA 98272
(360) 794-9101
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H0069686
MD
207R00000X
Internal Medicine Physician
Primary
OP60473472
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042193
—
WA
Enumeration date
10/15/2007
Last updated
04/30/2019
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