| Bair Bones Osteopathic Family Medicine Inc | |
|
4275 Ne Halsey St Portland OR 97213-1540 | |
| (503) 662-7226 | |
| Not Available |
| Full Name | Bair Bones Osteopathic Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4275 Ne Halsey St, Portland, Oregon |
| Authorized Official Name and Position | Teresa Erin Bair (OWNER) |
| Authorized Official Contact | 5036627226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bair Bones Osteopathic Family Medicine Inc 3519 Ne 15th Ave # 429 Portland OR 97212-2356 Ph: (503) 662-7226 | Bair Bones Osteopathic Family Medicine Inc 4275 Ne Halsey St Portland OR 97213-1540 Ph: (503) 662-7226 |
| NPI Number | 1417540345 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 2668866757 |
|---|---|
| Medicare Enrollment ID | O20220307002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417540345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Teresa Erin Bair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730599564 PECOS PAC ID: 8628370087 Enrollment ID: I20190830002838 |
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