Individual
JOHN N BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PROVIDENCE ST VINCENT MEDICAL CENTER, 9205 S.W. BARNES ROAD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
500 NE MULTNOMAH ST, SUITE 100, PORTLAND, OR 97232-2023
(503) 813-3860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OR MD12606
OR
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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