Individual
MAXINE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9427 SW BARNES RD, SUITE 395, PORTLAND, OR 97225-6652
(503) 216-2602
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD20753
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134047
—
OR
Enumeration date
09/07/2005
Last updated
02/05/2021
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