Individual
JAMES D BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 NW 5TH ST, SUITE 101, REDMOND, OR 97756-1869
(541) 526-6635
(541) 526-6636
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 526-6635
(541) 526-6636
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17396
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD17396
STATE LICENSE
OR
01
—
P00247375
RR MEDICARE
OR
Enumeration date
06/12/2006
Last updated
01/26/2016
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