Individual
OLIVIA MARIE BAGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8332 SE 13TH AVE, PORTLAND, OR 97202-7102
(503) 595-9300
Mailing address
8332 SE 13TH AVE, PORTLAND, OR 97202-7102
(503) 595-9300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD215446
OR
208000000X
Pediatrics Physician
Primary
MD61675980
WA
Other
Enumeration date
01/23/2019
Last updated
11/20/2025
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