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Individual

MR. SIMON THOMAS BACHOFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
1123 HILL ST SE STE B, ALBANY, OR 97322-3292
(541) 704-7304
(503) 296-3920
Mailing address
1123 HILL ST SE STE B, ALBANY, OR 97322-3292
(541) 704-7304
(503) 296-3920

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202202206NP
OR
208000000X
Pediatrics Physician
202202206NP
OR

Other

Enumeration date
03/08/2022
Last updated
07/18/2022
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