Organization
BAUER MEDICAL GROUP
Active
Other names
Osteopathic Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CAMPBELL (OFFICE MANAGER)
(503) 236-2303
Entity
Organization
Contact information
Practice address
6564 SE LAKE RD, SUITE 101, MILWAUKIE, OR 97222-2237
(503) 236-2303
(503) 236-2614
Mailing address
6564 SE LAKE RD, SUITE 101, MILWAUKIE, OR 97222-2237
(503) 236-2303
(503) 236-2614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO162206
OR
208100000X
Physical Medicine & Rehabilitation Physician
01994
OR
208D00000X
General Practice Physician
Primary
DO154162
OR
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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