Individual
MRS. JANET M BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 6TH ST SW, BANDON, OR 97411-9529
(541) 297-1974
(512) 342-9949
Mailing address
89569 SUNNY LOOP LANE, BANDON, OR 97411
(541) 297-1974
(512) 342-9949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19515
OR
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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