Organization
BAY CARE MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NEWBERRY (CEO)
(503) 853-0868
Entity
Organization
Contact information
Practice address
2100 NE BROADWAY ST, PORTLAND, OR 97232-1569
(503) 853-0868
Mailing address
2100 NE BROADWAY ST, PORTLAND, OR 97232-1569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16896
OR
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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