Individual
FREDERICK GERARD BAHRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9764
(503) 652-2880
Mailing address
10116 SW 53RD AVE, PORTLAND, OR 97219
(503) 246-7008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G45271
CA
207P00000X
Emergency Medicine Physician
Primary
OR MD19726
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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