Edward Ildoe Bae is a
Community Health Worker based in Beaverton, Oregon. Edward Ildoe Bae is licensed to practice in * (Not Available) (license number ) and their current practice location is
13755 Sw Farmington Rd, Beaverton, Oregon. It can be reached at their office (for appointments etc.) via phone at
(503) 646-3743.
NPI number for Edward Ildoe Bae is 1801226527 and their current mailing address is 13755 Sw Farmington Rd, Beaverton, Oregon. Edward Ildoe Bae
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1801226527.
Healthcare Provider's Profile
Full Name | Edward Ildoe Bae |
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Type | Facility |
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Speciality | Community Health Worker |
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Location | 13755 Sw Farmington Rd, Beaverton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801226527
- Provider Enumeration Date: 11/15/2013
- Last Update Date: 02/04/2014
Medical Identifiers
Medical identifiers for Edward Ildoe Bae such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801226527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC00115 (Oregon) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Ildoe Bae is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edward Ildoe Bae 13755 Sw Farmington Rd, Beaverton, OR 97005-2603 Ph: (503) 646-3743 | Edward Ildoe Bae 13755 Sw Farmington Rd, Beaverton, OR 97005-2603 Ph: (503) 646-3743 |
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