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Individual

DR. FREDERIC NATHAN BAHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
705 ELM ST SW, SUITE 300, ALBANY, OR 97321-1956
(541) 812-4580
(541) 928-3169
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
(541) 812-4580
(541) 928-3169

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A107095
CA
208600000X
Surgery Physician
Primary
MD156908
OR

Other

Enumeration date
12/16/2009
Last updated
11/03/2020
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