Individual
DR. JASON RICHARD BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25030 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9816
(503) 612-0498
(503) 459-0521
Mailing address
25030 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9816
(503) 612-0498
(503) 459-0521
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
MD26590
OR
2085R0202X
Diagnostic Radiology Physician
MD26590
OR
2085R0204X
Vascular & Interventional Radiology Physician
3067
WI
2085R0204X
Vascular & Interventional Radiology Physician
76385
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD26590
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240378
—
OR
Enumeration date
11/10/2005
Last updated
03/24/2025
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