Individual
SAMIR BIR ALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4557
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD166344
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
—
161133
GROUP MEDICAID NORTH BEND MEDICAL CENTER
OR
05
—
500672860
—
OR
01
—
93-0635514
GROUP TAX ID NORTH BEND MEDICAL CENTER
OR
01
—
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
07/24/2011
Last updated
08/25/2025
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