Individual
SAMUEL VINCENT BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST STE 422, PORTLAND, OR 97213-2984
(503) 488-2345
(503) 488-2350
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD24703
OR
2086S0122X
Plastic and Reconstructive Surgery Physician
MD24703
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022461
—
OR
Enumeration date
01/25/2007
Last updated
11/22/2023
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