Individual
DR. MARTI BAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD16433
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD16433
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150308
—
OR
Enumeration date
02/06/2007
Last updated
01/08/2013
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