Individual
DR. ARIELLE ANN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6137
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19487
NV
2085R0202X
Diagnostic Radiology Physician
2019008255
MO
2085R0202X
Diagnostic Radiology Physician
A168105
CA
2085R0202X
Diagnostic Radiology Physician
MD211430
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200067294
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/16/2014
Last updated
12/16/2024
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