Organization
BAUER MEDICAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK LARSON (OFFICE MANAGER)
(503) 579-5000
Entity
Organization
Contact information
Practice address
15962 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4351
(503) 579-5000
Mailing address
14780 SW OSPREY DR STE 325, BEAVERTON, OR 97007-8069
(503) 579-5000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
OR
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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