Individual
DR. GEOFFREY E BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6564 SE LAKE RD STE 200, MILWAUKIE, OR 97222-2237
(503) 477-4343
(866) 825-9040
Mailing address
6564 SE LAKE RD STE 200, MILWAUKIE, OR 97222-2237
(503) 477-4343
(866) 825-9040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO13935
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271619
—
OR
01
—
840495001
BX
—
Enumeration date
08/28/2006
Last updated
11/06/2018
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