Organization
SAMUEL V BARTHOLOMEW MD PC
Active
Other names
SAMUEL V BARTHOLOMEW MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL V BARTHOLOMEW M.D., (OWNER)
(503) 292-9737
Entity
Organization
Contact information
Practice address
9155 SW BARNES RD, SUITE 532, PORTLAND, OR 97225-6625
(503) 292-9737
(503) 292-9680
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD24703
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022461
—
OR
Enumeration date
07/28/2008
Last updated
07/28/2008
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