Individual
MR. GEORGE LOUIS BARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-2910
(971) 404-6555
Mailing address
12425 NW BARNES RD APT 99, PORTLAND, OR 97229-6095
(971) 404-6555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10701
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10701
MASSAGE LICENSE
OR
Enumeration date
05/02/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us